- BlueCross BlueShield of North Carolina (NC)
- …In lieu of degree, 7+ years of experience in related field. + Understanding of the Facets data model + Deep experience with Facets custom code and extensions + ... Hands on knowledge on troubleshooting and debugging Facets and custom code surrounding Facets . **Bonus...and debugging Facets and custom code surrounding Facets . **Bonus Points** + Experience supporting enrollment processing (834,… more
- Henry Ford Health System (Southfield, MI)
- …in identifying and implementing short and long-term corporate business needs for the Facets application. This level is expected to provide expertise in the detail ... + Assist in the analysis and testing of new Facets releases while identifying the impact to interfaces for...Health Care related business experience preferred. + Knowledge of Facets claims processing with the ability to troubleshoot. +… more
- Cognizant (Augusta, ME)
- …required. **Travel:** None required **About the role:** As Claims Processor (with Facets ), you will be responsible for timely and accurate adjudication of ... Medicare/ Medicaid payment and coverage guidelines and regulations. + 1 year of Facets experience. + Experience in the analysis and processing of claims for… more
- CareFirst (Baltimore, MD)
- …vital role in ensuring successful delivery of technology solutions that support Facets modernization efforts. Possess expert-level knowledge of Facets platform, ... play a critical role in leading the delivery of complex Facets platform upgrades and supporting cross-cutting corporate initiatives relative to Facets platform… more
- CareFirst (Baltimore, MD)
- …& Qualifications** **PURPOSE:** Manages and implements custom extensions within TriZetto Facets application. This role plays a critical part in enabling seamless ... and technical requirements to create scalable extension solutions within the Facets ecosystem. + Collaborate with business analysts, architects, QA, and DevOps… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Seeking an experienced Facets Architect to provide strategic technical expertise in designing and delivering scalable, secure, ... and high-performing solutions on the TriZetto Facets platform with a focus on robust integration across internal platforms and external partner systems. This role… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Serves as Technical Lead/SME for the Facets Core application team, guiding the requirement analysis, design, development and ... implementation of Facets application and integrations within the Facets platform and to the up/downstream applications. Works with end-users and project… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Serves as Technical Lead/SME for the Facets Voucher application team, guiding the requirement analysis, design, development ... and implementation of Facets Voucher application and integrations within the Facets platform and to the up/downstream applications. Works with end-users and… more
- University of Colorado (Aurora, CO)
- …**Job Summary:** + The advanced practice provider will be expected to support all facets of the outpatient clinical service to include the following: manage new and ... advanced practice provider will be expected to support all facets of the outpatient clinical service to include the...advanced practice provider will be expected to support all facets of the inpatient clinical service to include the… more
- Blue KC (Workman, MN)
- …standards. Documents transplant authorization, issues authorization letters, and follows in FACETS UM system in accord with UM concurrent review guidelines. Consults ... transplant billing packets and reconciles with transplant centers if necessary. Continuously reviews FACETS claim history to determine if claim has been paid or if… more
- Insight Global (Eden Prairie, MN)
- …27 Product Owner to lead regulatory claims initiatives, ensuring our CSP Facets claims system remains compliant, efficient, and responsive in a rapidly evolving ... Proven success in Agile environments and familiarity with CSP Facets or similar claims platforms are essential. Candidates should...in SQL and Visio is a plus -Experience with FACETS or similar claims platforms (good understanding of claims)… more
- Burns & McDonnell (San Juan, PR)
- …challenges faced by the largest utilities in North America. + Performing facets of substation physical design including yard layout plans, sections and details; ... auxiliary AC/DC power systems, and associated bills of material. + Performing facets of substation protection and control design including panel arrangements, one… more
- Burns & McDonnell (Minneapolis, MN)
- …challenges faced by the largest utilities in North America. + Performing facets of substation physical design including yard layout plans, sections and details; ... auxiliary AC/DC power systems, and associated bills of material. + Performing facets of substation protection and control design including panel arrangements, one… more
- Burns & McDonnell (Fort Worth, TX)
- …challenges faced by the largest utilities in North America. + Performing facets of substation physical design including yard layout plans, sections and details; ... auxiliary AC/DC power systems, and associated bills of material. + Performing facets of substation protection and control design including panel arrangements, one… more
- Tiffany & Co. (New York, NY)
- …crafting our exceptional pieces to inspiring clients to express and celebrate the many facets of love. It's a skill that we've been perfecting since 1837, one ... related position. Tiffany & Co. is formed from many facets - talented people who make our community stronger...and experience. Tiffany & Co. is formed from many facets - talented people who make our community stronger… more
- Commonwealth Care Alliance (Boston, MA)
- …ServiceNow change requests in collaboration with Cognizant for updates to Facets configuration based on compliance findings or regulatory needs. * Participate ... audit. * Experience working with TPA partners (eg, Cognizant) and submitting Facets configuration changes highly preferred. Desired Experience (nice to have): *… more
- Commonwealth Care Alliance (Boston, MA)
- …Document all research, findings, and outcomes in claims systems (eg, Salesforce, Facets ) in compliance with audit standards and MassHealth requirements. + Maintain ... integrity. + Experience with core claims platforms such as Facets , QNXT, or Amisys. **Desired Experience (nice to have):**...Abilities & Language (nice to have):** + **Knowledge of Facets , MassHealth, and CMS is a plus.** EEO is… more
- Cognizant (Trenton, NJ)
- …Responsibilities** + Responsible for reviewing the data in the claim processing system ( Facets ) and comparing it with the corresponding UB, HCFA paper, or EDI ... + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge of physician practice and hospital coding,… more
- Lithia & Driveway (Costa Mesa, CA)
- …+ Integrity - Acts ethically, maintaining a commitment to honesty and truth in all facets of behavior that builds the trust of others + Work Ethic - Delivers ... + Team Builder - Acts as a role model within the department in all facets of assigned job duties, while effectively providing feedback to team members and earning… more
- BHI Energy (Steedman, MO)
- …a broad umbrella organization with a complete service offering that covers all facets of Power Generation through the entire Electrical Delivery system. For over 40 ... a broad umbrella organization with a complete service offering that covers all facets of Power Generation through the entire Electrical Delivery system. For over 40… more
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