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Senior Manager Product Consulting (Facets)

Apolis

Bridgewater, NJ(remote)

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JOB DETAILS
SALARY
$75–$95 Per Hour
SKILLS
Accounting, Adjudication, Architectural Analysis, Best Practices, Billing, Business Architecture, Business Processes, Claims Management, Claims Processing, Communication Skills, Consulting, Data Modeling, Documentation, Enterprise Architecture, Gap Analysis, Health Information Technology, Health Plan, Healthcare, Information Technology & Information Systems, Leadership, Medi-Cal, Medicaid, Medicare, Mentoring, Offshoring, Problem Solving Skills, Product Management, Proof of Concept, Requirements Management, Root Cause Analysis, Software Administration, Technical Leadership, Utilization Management
LOCATION
Bridgewater, NJ(remote)
POSTED
1 day ago

Job Title:Senior Manager Product Consulting (Facets)

Location:Remote

Tax Term (W2, C2C):W2
Job Type (Permanent/Contract):Contract

Duration:Long Term

Description:

We are seeking an experienced Senior Manager Product Consulting (Facets) with 17+ years of healthcare IT experience and 5 10+ years of Facets consulting expertise. The ideal candidate will serve as a Facets Subject Matter Expert (SME), leading business discussions, solution design, and implementation activities for healthcare payer clients. The role requires deep expertise across Facets modules, healthcare business processes, and enterprise solution architecture.

Two SME profiles are needed:

  • Resource 1: Enrollment, Group/Class/Plan, Membership, Billing, Accounting
  • Resource 2: Claims, Utilization Management (UM), Coordination of Benefits (COB)

  • Role and Responsibilities:

  • Lead consulting engagements as the Facets Product SME.
  • Conduct business requirement discovery and design workshops.
  • Design, configure, and optimize Facets applications and modules.
  • Assess current Facets architecture and recommend best-practice configuration improvements.
  • Improve claims auto-adjudication and configuration efficiency.
  • Develop solution architecture and implementation roadmaps.
  • Perform gap analysis and recommend product enhancements or customizations.
  • Lead Proof of Concepts (POCs) and solution presentations.
  • Provide technical leadership throughout implementation and maintenance projects.
  • Support application modernization and optimization initiatives.
  • Mentor project teams and transfer Facets knowledge to client resources.
  • Collaborate with business stakeholders, architects, and offshore/onshore teams.
  • Analyze configuration issues and perform root cause analysis.
  • Produce architecture documentation and implementation strategies.

  • Required Skills:

    Mandatory

  • Facets Product Consulting
  • Facets Configuration
  • Healthcare Payer Domain
  • Benefits Configuration
  • Enrollment
  • Membership
  • Group/Class/Plan
  • Billing
  • Accounting
  • Claims Processing
  • Utilization Management (UM)
  • Coordination of Benefits (COB)
  • Providers
  • Workflow
  • PCA
  • Claims Root Cause Analysis
  • Solution Architecture
  • Gap Analysis
  • Business Consulting
  • Requirements Gathering
  • Design Workshops
  • Client Consulting
  • Healthcare Implementations

  • Preferred

  • Facets Data Model
  • Auto Adjudication
  • Medicare
  • Medicaid / Medi-Cal
  • Commercial Health Plans
  • Product Maintenance
  • Product Upgrades
  • Onshore/Offshore Delivery Model

  • Qualifications:

  • 17+ years of IT and Healthcare Payer experience.
  • 5 10+ years of Facets consulting experience.
  • Multiple end-to-end Facets implementation experience.
  • Strong knowledge of healthcare payer operations.
  • Excellent communication and stakeholder management skills.
  • Experience leading enterprise consulting engagements.
  • Strong documentation, presentation, and leadership skills.

About the Company

A

Apolis

Since 1996, RJT has provided successful SAP, Oracle, and IT consulting solutions and staffing services to clients around the world. The new Apolis brings you the same personalized service fortified with a greater array of IT solutions, global expertise, and cost-management strategies.

We are a global IT consultancy that seamlessly integrates experts and leading-edge solutions into your organization so you can focus on what really matters.

COMPANY SIZE
500 to 999 employees
INDUSTRY
Computer/IT Services
EMPLOYEE BENEFITS
Paid Sick Days, Employee Referral Program, Employee Events, Retirement / Pension Plans
WEBSITE
https://www.apolisrises.com/

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