• Facets Benefits and Claims…

    Cognizant (Columbus, OH)
    ** Facets Benefits and Claims Configuration Lead** **Location: Remote** **Job ID: 00065904022** **About the role** As a Facets Benefits and ... this role, you will:** + Lead configuration design activities for Facets Claims and Benefits based on approved business requirements. + Collaborate with… more
    Cognizant (10/15/25)
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  • Sr Systems Analyst - FACETS

    Health Care Service Corporation (Nashville, TN)
    …OR 8 years Information Technology experience. * Knowledge of application configuration * Strong Understanding of Relational Databases * Requirements definition & ... in Computer Science or Information Technology related * Medicare Claims Payment Services * Experience with Jira * Knowledge...be part of an organization committed to offering meaningful benefits to our employees to support their life outside… more
    Health Care Service Corporation (10/10/25)
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  • Claims Liaison II

    Centene Corporation (Harrisburg, PA)
    …the state of New York, Pennsylvania, or New Jersey. Preferred candidatess will have Facets Claims experience.** **Position Purpose:** Serve as the claims ... the Plan and as a liaison between the plan, claims , and various departments to effectively identify and resolve...processes and continual auditing of the processes to ensure configuration , state mandates, benefits , etc. + Review… more
    Centene Corporation (09/05/25)
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  • Business Analyst - Claims Systems

    Levi, Ray & Shoup, Inc. (Chicago, IL)
    …and first-pass resolution rates. + Gather and document business requirements to support configuration of Facets and related claims adjudication systems. + ... Careers + Get Hired + Our Culture (https://www.lrs.com/careers/our-culture/) + Benefits + Diversity (https://www.lrs.com/careers/diversity/) + Internships + Offices (https://www.lrs.com/offices/)… more
    Levi, Ray & Shoup, Inc. (07/22/25)
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  • Senior Systems Engineer - INS (Remote)

    CareFirst (Baltimore, MD)
    … extensions using .Net (C#), PL/SQL, Angular. + Experience working with core Facets modules such as claims , membership, provider, and billing. + Proficiency ... package, various incentive programs/plans, and 401k contribution programs/plans (all benefits /incentives are subject to eligibility requirements). **Department** Facets… more
    CareFirst (07/24/25)
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  • Analyst, Provider Operations

    Corewell Health (Grand Rapids, MI)
    …and/or quality auditing requirements. + 1 year of relevant experience with provider configuration , credentialing, claims and/or comparable systems. + 1 year of ... and maintains the complex provider enrollment information in both Evips and Facets systems accurately and timely to ensure the annual multi-million-dollar claims… more
    Corewell Health (10/16/25)
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  • Business Consultant - Clinical Products (Remote)

    CareFirst (Baltimore, MD)
    …enterprise-wide projects as needed. Maintain a strong working knowledge of the FACETS claims -to-authorization matching workflow and utilize this knowledge to ... operational technology support, Utilization Management (UM) operations, Clinical Product Configuration , Health Plan Claims /Authorization workflows, or related… more
    CareFirst (10/11/25)
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  • Remote Director of Health Plan Business Testing

    Insight Global (Norfolk, VA)
    …processes, including the management of related extracts and data. Functional areas include Claims , Encounters, Benefits Configuration , Claims & Pricing ... a global third-party vendor contract specific to testing * 3 years with QNXT or FACETS **CANDIDATES MUST RESIDE IN ONE OF THE BELOW STATES TO WORK REMOTELY** 1.… more
    Insight Global (10/16/25)
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  • Technical Operations Director (Remote)

    CareFirst (Baltimore, MD)
    …for benefit configuration , support of systems and sub systems supporting claims , service, and membership within the organization in order to allow CareFirst to ... day to day business technical support of systems and sub systems supporting claims , service, and membership within the organization in order to allow CareFirst to… more
    CareFirst (10/10/25)
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  • Program Analyst, Executive

    UIC Government Services and the Bowhead Family of Companies (Aberdeen, MD)
    …Councils, Analysis of Alternative forums, Army System Acquisition Review Councils, Configuration Steering Boards, and Defense Acquisition Boards. The PA will ... will provide budgetary assessment, analysis, and recommendations in all facets of PPBE efforts during the specified period of...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
    UIC Government Services and the Bowhead Family of Companies (09/02/25)
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