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Compunnel, Inc.

Facets Analyst US Healthcare - Claims

Career Insights for Healthcare Analyst

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What they do

A Healthcare Analyst is responsible for compiling important medical data through the use of computer-based applications, within a health care organization or hospital. Responsible for gathering, compiling, modeling, validating, and analyzing data needed by the organization.

$92,952 / year median in Ohio

-3% projected decline

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Job Description

Job Summary:
We are seeking an experienced Facets Analyst with strong expertise in Facets and US Healthcare Claims Processing. The ideal candidate will have hands-on experience supporting Facets Claims, Accumulators, Payments, and ASO modules, along with strong Oracle PL/SQL and analytical skills.
Key Responsibilities:
  • Analyze and support claims processing within the US Healthcare Payer domain.
  • Work extensively with Facets Claims, Accumulators, Payments, and ASO modules.
  • Analyze business and system requirements and translate them into effective technical solutions.
  • Troubleshoot and resolve Facets and claims processing issues.
  • Perform data analysis and support claims-related investigations using Oracle PL/SQL.
  • Collaborate with business and technical teams to identify and resolve system issues.
  • Support ongoing enhancements and improvements to claims processing workflows.
  • Perform root cause analysis and provide recommendations for issue resolution.
Required Qualifications:
  • 8+ years of relevant experience.
  • Strong experience with Facets is mandatory.
  • Hands-on experience with Claims Processing in the US Healthcare Payer domain.
  • Strong knowledge of Facets Claims, Accumulators, Payments, and ASO modules.
  • Strong experience with Oracle PL/SQL.
  • Strong analytical and problem-solving skills.
  • Candidates must have both Facets and Claims Processing experience.
Preferred Qualifications:
  • Experience with .
NET.