Configure and maintain the Facets platform rules, benefits, and parameters to support claims adjudication and operational requirements. Ensure configuration across multiple Facets modules (including Medical Plan) and maintain compatibility with Facets version 25.1+; collaborate with stakeholders and apply CMS (MA/Medicaid) product knowledge.
Role: Facets Configuration Analyst /Sr Analyst- Configures and maintains Facets platform rules, benefits, and parameters to support claims adjudication and operational requirements.
Required Skills:
1)Minimum 5 years Facets Experience
2) Minimum 3 years working experience with CMS work products - MA or Medicaid
3)Excellent communication skills
4) Proficiency in a minimum of 3 Facets modules with 1 being Facets Medical Plan
5)Must have experience in Facets version 25.1 or greater
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What you need to know about the Pune Tech Scene
Once a far-out concept, AI is now a tangible force reshaping industries and economies worldwide. While its adoption will automate some roles, AI has created more jobs than it has displaced, with an expected 97 million new roles to be created in the coming years. This is especially true in cities like Pune, which is emerging as a hub for companies eager to leverage this technology to develop solutions that simplify and improve lives in sectors such as education, healthcare, finance, e-commerce and more.



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