FACETS Provider Configuration Analyst

FACETS Provider Configuration Analyst

Remote

12 months

Module / focus area: Provider

Role summary

Configure and maintain provider data, contracts, and network setup within the FACETS Provider module.

Key responsibilities

• Configure provider demographics, contracts, and fee schedules
• Set up network and panel assignments and provider-to-plan linkages
• Support provider data loads and mass updates
• Resolve provider-related claims pricing discrepancies
• Maintain provider reference tables

Required qualifications

• 3+ years of FACETS Provider module configuration experience; workflow experience is a must
• Understanding of provider contracting, fee schedules, and reimbursement methodologies
• Experience with NPI, TIN, and provider credentialing data structures
• SQL skills for provider data validation

Preferred qualifications

• Experience with provider data management (PDM) tools
• Knowledge of value-based care (VBC) contract configuration
• Exposure to provider portal integrations