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Facets Functional Lead

Staffingine LLC
Seattle, WA Contractor
POSTED ON 11/27/2025
AVAILABLE BEFORE 1/26/2026
Job Title: Facets Functional Lead  Job Location: Seattle, WA   Job Type: Contract Job Description:  Candidate must have : Solid hands-on experience in Facets TestingExposure to the US Healthcare domain (Payer/Provider)Good to have EDI experienceMinimum 8 years of testing experienceStrong experience in Facets Testing, particularly in areas like Claims, Membership and provider ModuleStrong team leading experience from onsite including onsite/offshore coordationGood stakeholder management skills including reporting skillsLead 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 Bachelor's degree in computer science, IT, Healthcare, or related field. Master's degree preferred but not mandatory. Candidate must have : Solid hands-on experience in Facets TestingExposure to the US Healthcare domain (Payer/Provider)Good to have EDI experienceMinimum 8 years of testing experienceStrong experience in Facets Testing, particularly in areas like Claims, Membership and provider ModuleStrong team leading experience from onsite including onsite/offshore coordationGood stakeholder management skills including reporting skills

Hourly Wage Estimation for Facets Functional Lead in Seattle, WA
$49.00 to $56.00
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