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Facets Developer

Posted 4 months ago

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🔍 Industry: Healthcare IT

🗣️ Languages: English

Requirements:
  • Develop solutions as per specifications
  • Enrolment developer Language TBD
  • Experience with code solution
  • Strong knowledge of the enrolment process
  • Ability to custom develop Facets keyword, SQL, JSON, and .NET
  • Certification in Facets: Membership, Provider, Client Communications
  • Transpose Provider data from Systems to Facets.
Responsibilities:
  • You will be responsible for the design, development, and maintenance of the Facets system, ensuring its functionality, performance, and integration with other healthcare IT systems
  • Develop and implement software solutions within the Facets system, including customizations, configurations, and integrations, to support business operations and improve efficiency
  • Perform coding, debugging, and testing of Facets system components, ensuring adherence to coding standards, best practices, and security protocols.
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🔥 Facets Developer
Posted about 2 months ago

📍 Philippines, India, Pakistan, Singapore

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🏢 Company: CrewBloom

  • 8+ years of experience with Trizetto Facets and strong proficiency in SQL and .Net.
  • 4+ years of experience with the Jiva and Cactus platforms.
  • Hands-on experience in care management, utilization management, and provider management.
  • Strong knowledge of healthcare claims processing and authorization workflows.
  • Experience in system configuration and troubleshooting for Jiva.
  • Deep understanding of healthcare industry standards, processes, and regulations.
  • Experience with provider data management and credentialing.
  • Familiarity with the Software Development Life Cycle (SDLC) and best practices.
  • Hands-on experience with Safe Agile methodology.

  • Develop and implement the authorization load from the Jiva platform to the Facets system.
  • Analyze and resolve authorization issues reported by members or providers in Jiva and Facets.
  • Develop processes to correct authorization data in Jiva and load the corrected data into Facets for claims processing.
  • Lead and participate in projects to enhance and update the Jiva platform.
  • Develop and maintain provider data solutions within the Cactus provider management application.
  • Manage provider data and credentialing processes.
  • Support incidents and enhancements related to Cactus feed into the Facets system.
  • Provide ongoing support and troubleshooting for Jiva platform issues.
  • Lead utilization management and claims processing activities within the Facets platform.

Software DevelopmentSQLAgile.NETCommunication SkillsCollaboration

Posted about 2 months ago
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