Sr. Product Consulting Manager

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 a Senior Manager Product Consulting with deep expertise in the Facets platform to lead consulting engagements, solution design, and implementation initiatives for healthcare payer organizations. The ideal candidate will possess strong knowledge of Facets modules, healthcare business processes, and product consulting, with the ability to lead client discussions, define solution architecture, and optimize Facets implementations.

Role and Responsibilities:

• Lead consulting engagements as the Subject Matter Expert (SME) for Facets applications.
• Conduct requirements discovery, solution design, and application configuration workshops.
• Design and recommend scalable Facets solution architecture based on business and technical requirements.
• Lead product implementation, optimization, upgrades, and application maintenance initiatives.
• Assess current Facets configurations and recommend best practices to improve auto-adjudication and operational efficiency.
• Facilitate business discussions with client executives, SMEs, and technical teams.
• Perform gap analysis and recommend product enhancements, integrations, and customization.
• Support Proof of Concept (PoC) activities and present solution recommendations.
• Provide expertise in Facets modules including Enrollment, Benefits, Providers, Claims, Billing, Membership, Accounting, UM, and COB.
• Analyze claims issues, perform root cause analysis, and recommend configuration improvements.
• Mentor consultants and collaborate with onshore/offshore delivery teams.
• Produce technical documentation, solution designs, and implementation roadmaps.

Required Skills:

• Facets Product Consulting
• Facets Configuration
• Enrollment
• Group/Class Plan
• Billing
• Membership
• Accounting
• Claims
• Utilization Management (UM)
• Coordination of Benefits (COB)
• Benefits Configuration
• Provider Configuration
• Claims Root Cause Analysis
• Workflow
• Facets Data Model
• Healthcare Payer Domain
• Solution Architecture
• Business Consulting
• Gap Analysis
• Product Implementation
• Client Stakeholder Management
• Onshore/Offshore Delivery

Qualifications:

• 9+ years of experience in Facets consulting and healthcare payer solutions.
• Strong expertise in Facets implementations and configuration.
• Experience with Commercial, Medicare, Medicaid/Medi-Cal lines of business.
• Deep understanding of healthcare payer operations and Facets architecture.
• Proven ability to lead business workshops and client-facing consulting engagements.
• Excellent verbal, written, presentation, and stakeholder management skills.
• Experience leading cross-functional teams and working with distributed delivery models.