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*Dear Partner*



Please share some profiles ASAP. Please have this as your top priority

Role : Facets Accumulator SME



1.      Location:  Owings Mills/Baltimore, MD

2.      Will they consider remote or onsite: Onsite preferred;
fly-in/fly-out can be considered

3.      Is any travel involved :  Offices are based in Baltimore county
mostly



*Job Description: *



Facets Accums SMEs with deep system knowledge, particularly around handling
deductible and out of pocket cost sharing in products with integrated
medical, pharmacy, dental and vision benefits.

The scope of the support provided will consist of:


   - Analysis of new and/or changed Plan benefit requirements requiring
   Facets configuration and translation of analysis into identifying resulting
   configuration changes necessary.
   - Analysis of changed benefit impact on claim adjudication, including
   accumulator impact and modifications required; manual accumulator changes
   may be required
   - Query support of Facets database to facilitate data analysis
   - Configuration build assistance of any required Product changes
   - Conduct testing and validation analysis of claim testing results for
   Product changes, accumulator changes and other system changes as they occur
   - Participate in client meetings as necessary
   - Resources will receive guidance and training in the process and
   methods used to complete assigned work.
   - Resources will not be expected to process claims, but will need to
   understand the claimsflow process and analyze claim data output.
   - Knowledge of the claims and product data models is required.

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