IL
Senior Facets Product Consultant / Facets Solution Manager
ICONMA, LLC
🇺🇸 United States
Remote
Manager or above
2 months ago
$1 – $75 / hour
- LPC
- Health insurance
2 months ago
Not enough detail in this posting to match
Responsibilities:
- The SME shall provide the client with advisory knowledge of configuration structure and provide leadership in implementing or optimizing configuration solutions to increase auto-adjudication rate and/or implement new lines of business.
- The SME resource should also provide concrete project plan tasks to bring the current FACETS configuration architecture to an optimize future state, including best practice configuration, assessment of sub-modules not currently leveraged, and provide measurable metrics on configuration approaches.
- The Facets Design Specialist will conduct requirements discovery sessions and lead design sessions to determine how best to design and configure applications within Facets to meet the defined requirements.
- Understand business and technical requirements, consult customers to design and recommend solution architecture, manage mid and large-sized projects of the following nature( Product updates, Application Maintenance, etc., guide product specialists to ensure complete coverage of client’s requirements and product quality within the client and project specifications
- The role requires excellent general consulting and Facets application skills to work with the client technical team to understand: the technical and functional ecosystem; analyze customer requirements; challenges from an IT and business process perspective by interacting with the customer architects / SMEs, and reviewing documentation.
- Provide recommendations (e.g., product implementation, platform identification, architecture suitability, gap analysis, customization/bolt-on development and integration, product maintenance) to address the same;
- Create the solution architecture; Present the benefits of the solution; Lead Proof of Concept for the business problem; Provide inputs on technical robustness and scalability of the product to the LPC.
Requirements:
- Experience: 12–17+ years in healthcare payer systems with 5–10+ years of Facets consulting and implementation experience.
- Domain: Health Insurance/Payer (Commercial, Medicare, Medicaid/Medi-Cal).
- Critical Skills: Facets (Enrollment, Membership, Billing, Group/Class Plan, Accounting, Claims, UM, COB), Facets configuration, implementation, solution architecture, business consulting, claims analysis, data models, stakeholder management, and team leadership.
- Facets product knowledge on enrollment, group class plan, billing, membership, accounting (resource 1) and for resource #2 need to have claims, UM, and COB
- Ability to lead business discussions
- Excellent communication skills across all levels of the project team, including client and internal teams
- Proven track in implementations of Facets product
- 5-10 years Facets consulting experience
- 5-10 years of industry knowledge including all LOB (e.g., MediCal/Medicaid, Commercial, Medicare)
- Remote Serve as a Consulting team lead and Subject Matter Expert (SME) for core applications and sub-modules.
- Experience should include a strong understanding of core functionality, emphasizing Benefits, Providers, Enrollment, and Claims.
- Experience with claims root cause analysis, benefits cost shares, PCA, and Workflow to solve UM, COB, Provider, and member match issues is preferred.
- Ability to provide advanced analysis, problem-solving, and interpret application configuration.
- Good knowledge of Facets data models.
- Must be able to liaison effectively with business and technical groups and transfer Facets application knowledge to customer staff.
- Clearly articulate (both verbal and written) issues and provide alternative solutions.
- Excellent in working with onshore/offshore resource models.
- Years of Experience: 17.00 Years of Experience
- Category Name Required Importance Experience
- Facets Facets - Billing Yes 1
- Facets Facets - Membership Yes 1
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Senior Facets Product Consultant / Facets Solution Manager · ICONMA, LLC