[Remote] Facets Workflow Consultant

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. Vaiticka Solution is seeking a Facets Workflow Consultant to optimize claims and benefits workflows within the Facets platform. The role involves analyzing existing workflow rules and supporting clients in improving operations, requiring strong knowledge of Facets and analytical skills.ResponsibilitiesReview 4000+ Facets workflow rules and identify state‑specific and group‑specific customizationsMap rule dependencies and evaluate downstream impact across claims, membership, billing, and provider modulesDocument differences between baseline and client‑specific configurationsWork with business, configuration, and QA teams to validate rule behaviorRecommend optimizations, including consolidation of redundant rulesSkills5–8 years as a Business or System Analyst working with FacetsStrong understanding of claims workflows, provider validation, and benefits administrationExperience reviewing large rule/configuration repositoriesSolid knowledge of US healthcare payer operationsAbility to interpret and analyze complex rules and configurationsStrong documentation and communication skillsFacets Workflow Rules ConfigurationSQL for rule impact analysisFacets Data Model & OperationsKnowledge of state/regulatory variationsCritical thinking & problem solvingLeadership & collaborationAbility to manage large rule inventoriesCompany OverviewWe connect great companies with the right talent. It was founded in undefined, and is headquartered in Georgia, GA, US, with a workforce of 51-200 employees. Its website is https://www.vaiticka.com.

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