Facets Configuration Analyst

Company Description

A leading US Healthcare Service Provider, providing cost-effective, intelligent business solutions exclusively to health plans for over 27 years. Their services include consulting for plan strategy, operations, and technology, AI ennoblement, and business process outsourcing for various areas.

Role Description

This is a full-time remote role for a Facets Configuration Analyst. The Facets Configuration Analyst will be responsible for configuring, maintaining, and supporting the TriZetto Facets platform within the healthcare payer domain. Day-to-day responsibilities include configuring products, plans, benefits, groups and members, provider contracts, and network rules; translating business requirements into system configurations; supporting claims processing and eligibility validation; troubleshooting configuration-related issues; and collaborating with business and technical teams. The role will also involve supporting UAT, regression testing, production validation, open enrollment, benefit updates, and production releases.

Qualifications

• Hands-on experience with TriZetto Facets Configuration is mandatory.
• 3–7+ years of experience in Facets Configuration and support.
• Strong knowledge of Products, Plans, Benefits, Group & Member, Provider, and Claims Configuration.
• Experience working with Claims, Member, Subscriber, Provider, Eligibility, Product, and Benefit data and tables within the Facets environment.
• Strong understanding of claims adjudication, pricing logic, eligibility validation, and healthcare payer workflows.
• Strong SQL skills for data querying, validation, analysis, and troubleshooting.
• Experience with configuration troubleshooting, defect resolution, and production support.
• Experience participating in UAT, regression testing, and production validation.
• Experience supporting open enrollment, benefit updates, and production releases.
• Ability to translate business requirements into functional system configurations.
• Strong analytical, troubleshooting, problem-solving, and communication skills.
• Ability to work independently in a remote environment and collaborate effectively with business and technical teams.
• Strong documentation skills, including maintaining configuration documentation and version control.
• Bachelor's degree in Computer Science, Information Technology, Engineering, or a related field is preferred.