FACETS configuration leads (Remote)

Cogent IBS, Inc

Primary Responsibilities:

  • This Facets Configuration Lead is responsible outlining solutions and assisting in grooming technology requirements for the Claims and Reference workstreams
  • Will oversee all Facets configuration to insure teams follow standards and guidelines as it relates to configuration
  • Coordinate and Prioritize work for the reference team, outline deadlines, help drive sound decisions and manage reference scrum team
  • This function also is intended to include those that also may define business processes
  • Lead system and/or configuration design activities including direct management of project team members
  • Participate in design sessions
  • Participate in test development and execution activities
  • Provide configuration thought leadership to organization
  • Ensure that all configuration documentation is prepared, reviewed, and approved
  • Create effective written and oral communication materials that summarize findings and support fact based recommendations
  • Maintain work papers, project deliverables and other artifacts that can be recreated and leveraged as intellectual capital
  • Perform project management duties including the creation of status reports, work plans and presentations to client leadership
  • Define, develop and document business requirements to ensure clients' needs are captured and delivered
  • Direct quality assurance and user acceptance testing by writing test plans and managing the execution of testing
  • Develop financial models and tools, including cost-benefit analysis, resource utilization models and performance reports
  • Assess and recommend vendor products to client leadership

Required Qualifications:

  • 2+ years of experience working with FACETS
    • Claims implementation and analysis and /or claims configuration experience in anyone of these areas: Provider/Provider Contracting, Clinical Benefits, Enrollment and Billing
    • 1+ years of Healthcare experience
    • 1+ years of experience with designing and writing queries against the database

Preferred Qualifications:

  • Medicaid Advantage exp
  • Data gathering and analysis experience
  • Writing system requirements
  • Experience operating in a consulting role (either internal or external)
  • Strong knowledge of state government run programs
  • Knowledge of the Software(System) Development Life Cycle
  • Experience working with test plans and test cases
  • Experience facilitating Joint Application Development (JAD) sessions

Note : Email is the best way to reach me

Thanks & Regards

Ram Shiva

Cogent Integrated Business Solutions, Inc. Blue Diamond Award Winner

Email :

Phone : (or) (248)- USA. SPAIN. INDIA. MEXICO

  • provided by Dice Facets, Configuration, JAD, claims configuration
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