Sr. Level Facets SME

Reposted 14 Days Ago
Be an Early Applicant
Baltimore, MD, USA
In-Office
Senior level
Information Technology • Software
The Role
The role involves configuration, analysis of plan benefit requirements, query support of the Facets database, and testing validation for claims and product changes.
Summary Generated by Built In
Company Description

Established in 1991, Collabera has been a leader in IT staffing for over 22 years and is one of the largest diversity IT staffing firms in the industry. As a half a billion dollar IT company, with more than 9,000 professionals across 30+ offices, Collabera offers comprehensive, cost-effective IT staffing & IT Services. We provide services to Fortune 500 and mid-size companies to meet their talent needs with high quality IT resources through Staff Augmentation, Global Talent Management, Value Added Services through CLASS (Competency Leveraged Advanced Staffing & Solutions) Permanent Placement Services and Vendor Management Programs.

Collabera recognizes true potential of human capital and provides people the right opportunities for growth and professional excellence. Collabera offers a full range of benefits to its employees including paid vacations, holidays, personal days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance, Disability Insurance.

Job Description

Hey,

This is Nisarg from Collabera and I have a position open where I am looking for Sr. Level Facets SME. Please let me know if you would be interested in hearing more about this opportunity. Below is a detailed job description for your reference.

Looking forward to talk with you.

Feel free to reach me at 314-293-8234.

Title: Sr. Level Facets SME

Location: Owings Mills/Baltimore, MD 21117

Contract: 1 year contract

The Client stressed that this is on the “product side” of Facets. The manager is looking for Facets Accums SMEs with deep system knowledge, particularly around handling deductible and out of pocket cost sharing in products with integrated medical, pharmacy, dental and vision benefits.

Must Haves:

  • Very senior level experience with Facets
  • Experience in Facets Accumulator (also written as Accum)
  • Knowledge of the claims and product data models is required
  • Heavy experience on the product side
  • Configuration experience

Responsibilities:

  • Analysis of new and/or changed Plan benefit requirements requiring Facets configuration and translation of analysis into identifying resulting configuration changes necessary.
  • Analysis of changed benefit impact on claim adjudication, including accumulator impact and modifications required; manual accumulator changes may be required
  • Query support of Facets database to facilitate data analysis
  • Configuration build assistance of any required Product changes
  • Conduct testing and validation analysis of claim testing results for Product changes, accumulator changes and other system changes as they occur
  • Participate in client meetings as necessary
  • Resources will receive guidance and training in the process and methods used to complete assigned work.
  • Resources will not be expected to process claims, but will need to understand the claims flow process and analyze claim data output.
  • Knowledge of the claims and product data models is required.

Additional Information

To learn more about this position, please contact:

Nisarg Shah

314-293-8234

nisarg.shah(at)collabera.com

Skills Required

  • Very senior level experience with Facets
  • Experience in Facets Accumulator
  • Knowledge of claims and product data models
  • Heavy experience on the product side
  • Configuration experience
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