Position: Facets Workflow Consultant
Location: Remote
Employment: Contract

Job Summary:

A Facets Workflow Consultant analyses and optimizes claims and benefits workflows within the Facets platform. The role involves reviewing existing workflow rules, identifying customizations, understanding business outcomes, and supporting clients in improving claims and benefits operations. The consultant must have strong Facets knowledge, analytical skills, and the ability to work with cross‑functional teams—often remotely.

Skills:

Facets Workflow Rules Configuration
SQL for rule impact analysis
Facets Data Model & Operations
Knowledge of state/regulatory variations
Critical thinking & problem solving
Leadership & collaboration
Ability to manage large rule inventories

Duties:

Review 4000+ Facets workflow rules and identify state‑specific and group‑specific customizations.
Map rule dependencies and evaluate downstream impact across claims, membership, billing, and provider modules.
Document differences between baseline and client‑specific configurations.
Work with business, configuration, and QA teams to validate rule behavior.
Recommend optimizations, including consolidation of redundant rules.

Required:

5–8 years as a Business or System Analyst working with Facets.
Strong understanding of claims workflows, provider validation, and benefits administration.
Experience reviewing large rule/configuration repositories.
Solid knowledge of US healthcare payer operations.
Ability to interpret and analyze complex rules and configurations.
Strong documentation and communication skills.

Vaiticka Solution LLC

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Facets Workflow Consultant