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Facets Configuration Analyst
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Full-time
- this is NOT an IT role and it will be configuring our Facets claims payment operating platformProvidence is seeking a Facets Configuration Analyst, who will: Be responsible for healthcare configuration solutions within PHP's core claims processing products (Facets, Networx, Optum Pricing, Optum CES).
- Have broad understanding of health plan wide processes, including claims processing, medical/payment policies, product implementations, provider network development and contract management.
- Understanding and applying FACETS functionality to the ever-changing environment including consumer driven healthcare, and complex provider contracting requirements.
- Perform system configuration analysis, design, coding and unit testing for simple to medium complex customer specific solutions within Facets and integrated with Facets such as CES, Networx (and other Pricing software), UPP, PIMS. Evaluates proposed policy changes and impacts.
- Perform feasibility review within the assigned discipline, key participant in product portfolio development, implementation of mandates, network development, software upgrades and operational workflow discussions.
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