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Tegria

Health-care IT services and clinical optimization

Facets Configuration Analyst

Enterprise ApplicationsConfirmed live in the last 24 hours
Full-timeOregon, USANo salary listedRemote

About the Job

Requirements

  • A bachelor's degree in Information Technology, Healthcare Administration, Business, or a related field; equivalent experience may be considered.
  • At least 3 years of experience working with the TriZetto Facets platform.
  • Experience configuring one or more Facets modules, including Benefits, Claims, Provider, Products, Eligibility, and Pricing.
  • Knowledge of healthcare payer operations and claims processing.
  • Experience gathering and analyzing business requirements.
  • Strong analytical, problem-solving, and troubleshooting skills.
  • Experience with testing methodologies and defect management.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple priorities in a fast-paced environment.

Responsibilities

  • Configure and maintain Facets modules, including benefits, providers, products, contracts, pricing, claims, and eligibility.
  • Analyze business requirements and translate them into detailed configuration specifications.
  • Collaborate with business analysts, project managers, developers, and operational teams to ensure accurate system implementations.
  • Perform impact assessments for requested configuration changes and system enhancements.
  • Develop and execute test plans, test scenarios, and validation activities to ensure system accuracy and compliance.
  • Troubleshoot configuration issues and participate in root cause analysis for production incidents.
  • Support system upgrades, implementations, conversions, and integration projects.
  • Document configuration designs, business rules, workflows, and technical procedures.
  • Ensure compliance with regulatory requirements and healthcare industry standards.
  • Participate in user acceptance testing and support end users during implementation activities.
  • Monitor system performance and recommend process improvements to optimize efficiency and accuracy.
  • Provide ongoing production support and maintenance for Facets applications.

Desired Qualifications

  • At least 5 years of Facets configuration experience.
  • Experience with Medicare, Medicaid, Commercial, or Exchange products.
  • Knowledge of Electronic Data Interchange transactions, including 834, 835, 837, and 278.
  • Experience with SQL for data analysis and validation.
  • Familiarity with healthcare regulations, including HIPAA.
  • Experience working in Agile or Scrum environments.

About the Company

Tegria

Health-care IT services and clinical optimization

Tegria helps health care organizations of all sizes accelerate technological, clinical and operational advances so people can live healthier lives. It operates as a network of nine companies with more than 2,500 strategists, technologists, service providers and scientists, serving customers across the United States and Canada. Rooted in Providence, Tegria works with healthcare providers to implement and optimize technology, clinical workflows, and operations. Its integrated team offers end-to-end services, from strategy and implementation to ongoing support, across a wide range of health IT, clinical, and operational needs. Unlike firms that focus on a single specialty, Tegria combines multiple disciplines and a large, distributed talent pool to deliver value across the full care delivery spectrum. The company's goal is to improve health outcomes and create health for a better world by helping healthcare organizations adopt and optimize technology, clinical practices, and operations.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Seattle, WA
Founded
2020

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