Facets Configuration Analyst

As a Facets Configuration Analyst, you will make an impact by configuring, maintaining, and optimizing key Facets components that support accurate provider reimbursement, benefit administration, and automated claims processing. You will be a valued member of our Healthcare Operations & Configuration team, collaborating closely with business partners and technical teams to deliver high‑quality configuration solutions that enhance efficiency and support regulatory program needs. In this role, you will: Configure provider reimbursement, dental benefit packages, and GCP (Group, Class, Plan) setups and maintain ongoing updates. Analyze business requirements and perform data mining to configure NetworX Qualifier Groups and pricing rules that automate and improve claims processing turnaround. Troubleshoot and resolve claim pend issues, identifying root causes and implementing appropriate fixes or workarounds. Perform Facets configuration for new implementations, including groups, classes, plans, products, and pricing. Ensure configuration accuracy by validating backend setups using SQL queries and supporting defect resolution.