Facets Functional Lead at Staffingine LLC

Job Title: Facets Functional Lead Job Location: Seattle WA Job Type: Contract Job Description: Candidate must have : Solid hands-on experience in Facets Testing Exposure to the US Healthcare domain (Payer/Provider) Good to have EDI experience Minimum 8 years of testing experience Strong experience in Facets Testing particularly in areas like Claims Membership and provider Module Strong team leading experience from onsite including onsite/offshore coordation Good stakeholder management skills including reporting skills Lead end-to-end Facets implementation and enhancement projects across Enrolment Billing Claims Provider or Configuration modules. Work with business stakeholders to analyse requirements design functional solutions and translate them into technical specs. Manage system configuration benefit setup product design plan builds membership/claims workflows provider contract setup and claims adjudication logic. Perform impact analysis gap analysis solution mapping and integration planning for Facets components. Coordinate with development QA ETL Data and Integration teams for feature rollout and defect resolution. Oversee UAT planning test case review scenario coverage and ensure timely defect resolution. Act as SME for Facets system functionality and mentor junior analysts/consultants. Drive production issue triaging RCA and long-term solution remediation. Prepare process documentation functional specs configuration guides and architecture process flows. Manage client expectations provide status reports and ensure delivery timelines and SLA compliance. Required Skills & Experience Strong functional knowledge of TriZetto Facets application (core modules & subsystems). Experience with Facets Enrolment Billing Claims Provider Products & Benefits QNXT migration concepts or Integration. Hands-on experience in requirements gathering BRD/FRD writing solution design UAT and production support. Familiarity with SQL ETL flows batch jobs extensions EDI transactions (834/837/835/820) preferred. Understanding of US healthcare payer processes - Eligibility Claims Benefits Authorizations Coordination of Benefits Capitation Pricing & Utilization Management. Excellent communication presentation and client-facing skills. Ability to lead offshore/onshore functional teams and manage delivery. Nice-to-Have Skills Experience in Facets upgrades (versions migrations) Exposure to Cloud-based Facets environments Knowledge of Facets Extensions HIPAA regulations Medicare/Medicaid Safe/Agile Project experience Certification in Healthcare Domain (AHIP CPC etc) Educational Qualifications Bachelors degree in computer science IT Healthcare or related field. Masters degree preferred but not mandatory. Candidate must have : Solid hands-on experience in Facets Testing Exposure to the US Healthcare domain (Payer/Provider) Good to have EDI experience Minimum 8 years of testing experience Strong experience in Facets Testing particularly in areas like Claims Membership and provider Module Strong team leading experience from onsite including onsite/offshore coordation Good stakeholder management skills including reporting skills Key Skills Change Management,Civil Engineering,Infection Control,Information Technology Sales,Biology Employment Type : Full Time Experience: years Vacancy: 1