Note: The job is a remote job and is open to candidates in USA. Select Minds LLC is a consulting company that delivers communication, consulting, and interactive business solutions. The company is seeking a Facets Analyst to analyze healthcare claims requirements, investigate system and process issues, support Facets configurations and enhancements, and ensure accurate claims processing for U.S. healthcare payer operations.
Responsibilities
- 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
Skills
- 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
Benefits
- REMOTE
- Flexible schedule
- Opportunity for advancement
Company Overview