Facets Analyst

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🕒 6 dias atrás

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $95.000 - $98.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🧐 Analista

🦅 Patrocina Visto H1B

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👻 Score fantasma 24%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Select Minds LLC

Select Minds LLC

51 - 200 funcionários

Fundada em 2017

💼 Consultoria

📣 Marketing

📦 Logística

Consulting • Marketing • Logistics

A Select Minds LLC é uma consultoria em serviços de TI e transformação digital que oferece desenvolvimento de aplicações, gestão de infraestrutura, analytics, UX empresarial, testes & QA, e serviços de help desk gerenciado para clientes corporativos. A empresa foca na modernização de nuvem e infraestrutura, consultoria em software, integração de sistemas e suporte contínuo, oferecendo também aquisição de talentos, desenvolvimento e aprendizagem, e soluções de saúde digital como parte de seus serviços B2B. A Select Minds se posiciona como parceira de empresas que buscam modernizar arquiteturas (incluindo ambientes de nuvem, automotivo e de operadoras) e acelerar o capital digital através de execução pragmática e equipes multifuncionais.

Descrição

• Analyze business and system requirements related to Facets claims processing and healthcare payer operations • Provide functional expertise across Facets Claims, Accumulators, Payments, and ASO modules • Analyze claims, benefits, accumulations, payment processing, and related healthcare payer workflows • Investigate claims processing issues, perform root-cause analysis, and recommend solutions • Work with business stakeholders, developers, QA teams, and other technical teams to translate business requirements into functional specifications • Perform data analysis and validation using Oracle SQL/PL/SQL • Support production issue analysis, defect resolution, testing, and implementation activities • Review claims data and system outputs to identify discrepancies and ensure processing accuracy • Develop and execute functional test scenarios for Facets enhancements and fixes • Participate in requirements gathering, impact analysis, system testing, and user acceptance testing • Document business processes, functional requirements, issue analysis, and solution recommendations • Collaborate with cross-functional teams in an Agile or similar delivery environment

🎯 Requisitos

• 5+ years of experience as a Facets Analyst or in a similar Facets-focused role • Strong hands-on knowledge of Facets Claims is mandatory • Experience with Facets Accumulators (Accums), Payments, and ASO • Strong understanding of the US healthcare payer domain and healthcare claims processing • Experience analyzing claims processing issues and business requirements • Strong Oracle SQL/PL/SQL skills for data analysis and validation • Excellent analytical, problem-solving, and communication skills • Experience working with business and technical stakeholders in a healthcare IT environment • Ability to work remotely while supporting EST business hours • Experience with .NET or understanding of .NET-based applications • Experience working in Agile/Scrum environments • Knowledge of healthcare EDI transactions and payer systems is a plus • Experience with Facets implementations, enhancements, upgrades, or production support is preferred • Bachelor’s degree in Computer Science, Information Technology, Healthcare Informatics, Business, or a related field is preferred • Candidates must reside in the U.S.

🏖️ Benefícios

• Competitive salary • Flexible schedule • Opportunity for advancement • Remote work

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