[Remote] Senior Manager – Product Consulting (Facets)

Note: The job is a remote job and is open to candidates in USA. Apolis is seeking an experienced Senior Manager – Product Consulting (Facets) with extensive healthcare IT experience. The ideal candidate will lead business discussions, solution design, and implementation activities for healthcare payer clients, serving as a Facets Subject Matter Expert.

Responsibilities

• Lead consulting engagements as the Facets Product SME
• Conduct business requirement discovery and design workshops
• Design, configure, and optimize Facets applications and modules
• Assess current Facets architecture and recommend best-practice configuration improvements
• Improve claims auto-adjudication and configuration efficiency
• Develop solution architecture and implementation roadmaps
• Perform gap analysis and recommend product enhancements or customizations
• Lead Proof of Concepts (POCs) and solution presentations
• Provide technical leadership throughout implementation and maintenance projects
• Support application modernization and optimization initiatives
• Mentor project teams and transfer Facets knowledge to client resources
• Collaborate with business stakeholders, architects, and offshore/onshore teams
• Analyze configuration issues and perform root cause analysis
• Produce architecture documentation and implementation strategies

Skills

• 17+ years of healthcare IT experience
• 5–10+ years of Facets consulting expertise
• Facets Product Consulting
• Facets Configuration
• Healthcare Payer Domain
• Benefits Configuration
• Enrollment
• Membership
• Group/Class/Plan
• Billing
• Accounting
• Claims Processing
• Utilization Management (UM)
• Coordination of Benefits (COB)
• Providers
• Workflow
• PCA
• Claims Root Cause Analysis
• Solution Architecture
• Gap Analysis
• Business Consulting
• Requirements Gathering
• Design Workshops
• Client Consulting
• Healthcare Implementations
• Multiple end-to-end Facets implementation experience
• Strong knowledge of healthcare payer operations
• Excellent communication and stakeholder management skills
• Experience leading enterprise consulting engagements
• Strong documentation, presentation, and leadership skills
• Facets Data Model
• Auto Adjudication
• Medicare
• Medicaid / Medi-Cal
• Commercial Health Plans
• Product Maintenance
• Product Upgrades
• Onshore/Offshore Delivery Model

Company Overview

Apolis is a IT consultancy that offers provides ERP solutions, hosting, assessment, web and mobile, IT staffing and IT workforce solutions. It was founded in 1996, and is headquartered in El Segundo, California, USA, with a workforce of 501-1000 employees. Its website is https://apolisrises.com/.

Company H1B Sponsorship

Apolis has a track record of offering H1B sponsorships, with 15 in 2023, 15 in 2022, 12 in 2021, 122 in 2020. Please note that this does not guarantee sponsorship for this specific role.