Lead the Facets configuration and maintenance of most complex and highly critical system tables and data elements across multiple system environments. Lead the analysis, development and implementation of configuration changes to improve system performance and user efficiency. Coordinate and monitor configuration for accuracy and compliance to change control processes. Own the end to end delivery of projects assigned to - this involves requirement documentation, design completion, Facets build delivery and test support. Technical Support/Business Expertise Provide significant business acumen (breadth and depth) and global technical expertise in critical systems/applications to support proactive Facets configuration solutioning for highly complex and varied business issues, while considering broader impacts of technical decisions to the current and future state business environment. Act as domain SME for IT projects to help map their data needs to Facets configuration applications. Act as configuration SME to triage any Facets integration solutions developed by IT partners Lead the review, analysis and development of solutions for highly critical business systems, which may have impacts across multiple business areas or systems/applications. Review the test scenarios, give feedback to testers; review claims test results; sometimes perform shadow testing to ensure complex configuration solution is working as we expect. Issue Resolution Leads work groups in assessment of business issues and facilitates the resolution of most complex or broad system/application problems by: Coordinating initial triage for severity and business impact of system/application failures. Leading the troubleshooting and analysis necessary to determine root cause of issues. Coordinating the development of applicable business processes and solutions, to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met. End to end issue resolution support, like claims remediation support, impact analysis, process updates etc.
Facets Product Configuration Analyst Duration: Mid-September 2026 - December 2027 A. Document detailed Facets product configuration requirements (BCRs), including benefit codes, exceptions, provider tiering, and benefit administration rules. B. Develop detailed configuration design documents that translate business requirements into Facets system setup specifications. C. Create and maintain requirements-to-test traceability to ensure all requirements are fully validated through testing. 2. Facets Workflow Configuration Analyst Duration: January/February 2027 - January 2028 A. Partner with Claims, UM, Care Management, and Service teams to gather detailed requirements for claims routing, exception handling, and manual review processes. B. Develop detailed Facets workflow design documents, build configurations, and support claims and service testing activities.
7+ years Facets configuration
Facets tool with deep understanding of Medical Product configuration Group/member enrollment, provider network
config and claims. 2. Good understanding of Facets data Model. 3. Microsoft SQL. 4. MS Excel
business systems,integration solutions,IT projects,business acumen,Coordinate,Coordinating,Issue Resolution,proactive,business impact,Business Expertise,business processes,change control,development of solutions,customer service,delivery of projects,impact analysis,claims,maintenance,regulatory requirements,test scenarios,Technical Support,triage,initial triage
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
