*Job Title*

*Facets Accums Consultant*

*Project Location*

*Owings Mills/Baltimore, MD*

*Duration*

*6+ Months Contract*


*Interview Process: - Phone + Skype*

*Visa:  Any*


*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.









Thanks & Regards,

Udbhav Mathur

Talent Acquisition Specialist

Email:- [email protected] <[email protected]>

Gtalk: udbhav.intime

Tekshapers Inc. – WMBE Firm

1441 E. Maple Rd, Suite # 301, Troy, MI 48083

http://www.tekshapers.com

Certification: WMBE Certified | E-Verified Company | ISO 9001:2008

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