Facets Analyst/ Facets Architect

Georgia IT

  • Norfolk, VA
  • 2 days ago
  • $100,000–$130,000 Per Year
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Skills

  • Adjudicationunmatched
  • Analysis Skillsunmatched
  • Architectural Analysisunmatched
  • Atlassian JIRAunmatched
  • Automationunmatched
  • Business Analysisunmatched
  • Change Requests/Ordersunmatched
  • Data Collectionunmatched
  • Data Mappingunmatched
  • Electronic Data Interchange (EDI)unmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Healthcareunmatched
  • Performance Managementunmatched
  • Pricingunmatched
  • Problem Solving Skillsunmatched
  • Project Scheduleunmatched
  • Regulatory Requirementsunmatched
  • Requirements Managementunmatched
  • System Integration (SI)unmatched
  • Use Casesunmatched
  • Wireframesunmatched

Description

Facets Analyst/ Facets Architect

Location: Norfolk, VA

Full time

Salary range: $100-130k/yr

Candidate must have Healthcare domain experience.

10+ years of Experience in Healthcare domain - Specially in Claims area

Strong in Functional & technical requirements related to Claims Adjudication cycle, Pricing & Pend Analysis

Extensive experience in Provider and Membership along with EDI/HIPAA transactions

Should have knowledge on End to End payer life cycle

Should have experience in Agile methodologies

Experience in creating use case, wireframe and requirement tracking using JIRA

Serve as functional lead/Business Analyst with other project team members on other systems that impact specific projects to ensure no adverse impact to the other systems

Monitor functional specifications and change requests to ensure project stays within scope and meets regulatory requirements

Schedule and facilitate project team meetings as applicable to ensure all team members are informed and issues are addressed

Participate in design discussions and document and deliver required functional specifications for application changes

Serve as subject matter expert to internal application owners and project members to consult and advise on how applications may be impacted by enterprise-wide initiatives

Participate in and document data mapping for integration of systems, conversion and acquisition related projects to understand how applications may need to change or be impacted by enterprise-wide initiatives, like regulatory requirements, other system enhancements or business initiatives

Determines operational objectives by understanding Facets systems; gathering information; evaluating output requirements and formats

Determines best and possible Automation solutions for the project for the migration projects

Improves systems by studying current practices; designing modifications and possible performance improvements

Defines project requirements by identifying project milestones, phases, and elements; forming project team.

Numbers & Facts

LocationNorfolk, VA
Salary$100,000–$130,000 Per Year

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