Sr. Facets EDI 270/271 Business Application Expert Consultant

posted on June 8, 2020

Job Description

Location: Durham, NC

Duration: 12 Months

100% remote but must reside in one of the following States: Arizona, Colorado, Florida, Idaho, Pennsylvania, Maryland, Michigan, South Carolina, Tennessee, and Virginia

  • These roles within the Benefit Configuration team are needed to documents during migrations.
  • Candidates need to have strong benefit configuration experience, be familiar with Health Insurance and be able to drive configuration by CODE sets.
  • Candidates must be able to work independently and comfortable with working remotely, holding meetings remotely and be accountable.
  • The Business Application Expert provides expert application knowledge that is global for a business area rather than being single process focused.
  • These applications support core business processes such as claims adjudication, membership enrollment, financial processing.
  • The incumbent is sought when there is application considerations needed due to problems, projects, or for overall assessments.
  • This role’s oversight and strategic thinking skills ensures that comprehensive, efficient solutions are being developed and implemented without negatively impacting the current operating environment and systems.
  • This expertise is usually difficult to find in the marketplace.
  • Experienced Facets Configuration candidate who can perform EDI 270/271 configuration within Facets system.
  • Candidate should have knowledge about the EDI transactions and the backend data model of the EDI 270/271 application.
  • Candidate should also have the ability to design the EDI 270/271 configuration based on the business requirements or benefit grid.

Additional hiring preference:

  • MS Excel – ability to write formulas within Excel workbook and generate validation work as needed.
  • MS SQL – ability to write SQL queries to pull bulk data through backend.

 

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