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Facets Benefit Configuration SME
- Huron Consulting Group (Chicago, IL)
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Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.
Huron is seeking a Facets Benefit Configuration Subject Matter Expert (SME) to support the design, configuration, and validation of benefits within the Facets core administration platform. This role plays a key part in ensuring our members receive accurate benefits and our operational teams are equipped with high-quality, reliable system configurations.
Key Responsibilities
+ Lead the end-to-end configuration of benefits in Facets, ensuring compliance with CMS guidelines, plan documents, and organizational standards.
+ Translate benefit designs, Evidence of Coverage (EOC), and Summary of Benefits into accurate, system-ready configuration specifications.
+ Partner with Product, Claims, Enrollment, and IT teams to validate benefit setup and resolve discrepancies.
+ Perform configuration testing, regression testing, and root cause analysis for benefit-related claims issues.
+ Support annual Medicare Advantage bid implementation, configuration updates, and release cycles.
+ Serve as an internal expert on Facets benefit logic, pricing impacts, and downstream claims processing implications.
+ Develop documentation, job aids, and configuration playbooks to standardize processes.
Qualifications
+ 5+ years of hands-on Facets benefit configuration experience within a health plan.
+ Strong understanding of Medicare Advantage, benefit administration, and claims processing.
+ Experience collaborating across cross-functional teams, including Actuary, Compliance, and Claims Operations.
+ Analytical mindset, attention to detail, and strong problem-solving skills.
+ Excellent communication and documentation skills.
Position Level
Associate
Country
United States of America
At Huron, we’re redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client’s challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work…together.
Are you the kind of person who stands ready to jump in, roll up your sleeves and transform ideas into action? Then come discover Huron.
Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.
Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements.
Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace.
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