Job Role – FACETS Configuration Analyst
Location: US(remote)
Role summary
Configure, test, and support the FACETS Claims Processing module so healthcare payer clients get accurate adjudication, pricing, and claims workflows.
Key responsibilities
- Configure claims processing rules, pricing methodologies, and adjudication logic within FACETS
- Analyze and resolve claims errors, pends, and exceptions
- Collaborate with business analysts to translate requirements into FACETS configuration
- Support UAT and production claims testing cycles
- Maintain claims-related reference tables and codes (CPT, HCPCS, ICD-10, revenue codes)
Required qualifications
- 3+ years of hands-on FACETS Claims module configuration experience; workflow experience is a must
- Strong understanding of the claims adjudication lifecycle (837/835, EOB/EOP)
- Familiarity with CPT, HCPCS, ICD-10, and revenue codes
- SQL proficiency for claims data analysis
- Healthcare payer domain knowledge (Medicare, Medicaid, or Commercial)
Preferred qualifications
- Experience with FACETS batch cycles and claims auto-adjudication tuning
- Exposure to Xcelys or QNXT (competitor platforms) for comparative context
- Agile/Scrum project experience
- FACETS certification
Varun Yadav
NLB Services is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to any legally protected characteristic, including disability and protected veteran status. For recruitment accommodations, contact your recruiter or
FACETS Configuration Analyst in greensboro at Unknown Company
This position is listed as full time and able to be worked remotely.