The Role
Configure and maintain the Facets platform (rules, benefits, parameters) to support claims adjudication and payer operations. Support CMS-related programs (Medicare Advantage/Medicaid), work across multiple Facets modules (including Facets Medical Plan), and ensure configuration aligns with payer claims processes on Facets v25.1+.
Summary Generated by Built In
This is a remote position.
The Facets Configuration Analyst will be responsible for configuring and maintaining Facets platform rules, benefits, and parameters that support claims adjudication and operational requirements
Requirements
Minimum 5 years of Facets configuration experience
● Minimum 3 years of experience supporting CMS-related products, including Medicare Advantage (MA) and/or Medicaid
● Strong verbal and written communication skills
● Proficiency in at least three (3) Facets modules, with one being:
○ Facets Medical Plan
● Experience working on Facets version 25.1 or later
● Strong understanding of healthcare payer operations and claims configuration
Skills Required
- Minimum 5 years of Facets configuration experience
- Minimum 3 years of experience supporting CMS-related products, including Medicare Advantage (MA) and/or Medicaid
- Strong verbal and written communication skills
- Proficiency in at least three (3) Facets modules, with one being Facets Medical Plan
- Experience working on Facets version 25.1 or later
- Strong understanding of healthcare payer operations and claims configuration
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The Company
What We Do
iScale Solutions is a full-service outsourcing company providing staff augmentation, IT services, business process outsourcing, digital marketing, creative solutions, and managed IT support.
