Facets Business AnalystMedicare or Medicate

Job title: Analyst(Facets)

Location: Remote

Required Qualifications

• Bachelors degree and above
• 2 3 Years of experience in US Healthcare and in Benefit Configuration Benefit coding / Auto Adjudication Set up processes and Quality testing.
• Experience with medical plan benefit configuration using the Facets system /SQL and database experience with basic queries.
• Excellent US Healthcare knowledge in Benefits coding and validation
• Excellent communication skills and experience in working with US clients directly.
• Ability to complete the assigned tasks on time Understand the SLAs and ensure they are met.
• Ability to coordinate with the Leads and Onshore in work prioritization and able to track and report selfwork.
• Ability to work independently with onshore/offshore team to deliver the assigned projects.
• Good Analytical and problemsolving skills 1 2 Years of experience in US Healthcare and in Benefit Configuration Benefit coding / Auto Adjudication Set up processes.
• Good Analytical and problemsolving skills 3 4year overall experience in US healthcare plans handling BIM and facets configuration process.
• Conduct training sessions for new hires and existing team members covering benefit coding principles Facets configuration guidelines.
• Provide handson training sessions on the utilization of the Facets system for benefit configuration.
• Conduct training needs assessments to identify gaps in knowledge and skills to ensure training throughput.
• Familiarity with healthcare policies regulations and compliance requirements such as HIPAA and ACA.
• Proficiency in different types of health insurance plans including HMOs PPOs and governmentsponsored programs like Medicare and Medicaid.
• Proficient in MS office including outlook word excel and power point.