Job Description
Facets Workflow Configuration AnalystContract (W2)
Remote (United States)
Key Responsibilities
Analyze business and operational requirements and translate them into Facets Workflow configuration.
Design, configure, maintain, and enhance workflow processes based on business requirements.
Configure and support:
Workflow queues and workbaskets
Routing and assignment rules
Business rules and workflow conditions
Priorities and work item distribution
User/team-based workflow assignments
Exception and manual-review workflows
Understand upstream and downstream impacts of workflow configuration across claims and other Facets operational processes.
Analyze current-state workflows and identify opportunities for workflow optimization and automation.
Troubleshoot workflow routing, assignment, queue, and processing issues.
Perform root-cause analysis for production workflow defects and recommend appropriate configuration changes.
Develop functional requirements, configuration specifications, process flows, and supporting documentation.
Support unit testing, system integration testing, UAT, regression testing, and production validation.
Work closely with business users, operations teams, developers, testers, and other Facets configuration teams.
Support implementation activities including configuration validation, defect resolution, deployment readiness, and post-production support.
Ensure workflow configuration aligns with approved business requirements and operational processes.
Required Skills
Strong hands-on experience with Facets Workflow configuration.
Good understanding of Facets architecture and healthcare payer operations.
Experience configuring workflow routing, queues/workbaskets, assignment rules, priorities, and exception handling.
Strong understanding of claims processing workflows and operational exception handling.
Ability to analyze complex workflow scenarios and translate business requirements into configuration solutions.
Experience troubleshooting production issues and performing root-cause analysis.
Experience developing functional/configuration documentation and test scenarios.
Strong analytical, communication, and stakeholder-management skills.
Ability to work independently with business, configuration, development, and testing teams.
Preferred Skills
Experience with NetworX and broader Facets configuration is an advantage.
Exposure to provider, product/benefit, membership, claims, pricing, or reimbursement-related processes.
Experience supporting Facets implementation, migration, upgrade, or transformation programs.
Understanding of healthcare payer business processes and end-to-end transaction flows.
Experience with SQL/data analysis for configuration validation and troubleshooting is preferred.
Experience
10+ years of healthcare payer/IT experience preferred.
7+ years of hands-on Facets Workflow configuration experience is must.
Experience working directly with business and operations teams to design and implement workflow solutions.