[Hiring] Sr. Facets Dental Configuration Specialist @reputed company
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Role reputed company
As a Technical Analyst – Dental Configuration, you will reputed company an reputed company by designing, developing, and optimizing benefit, pricing, and configuration solutions that directly enhance claim processing accuracy and auto‑adjudication rates. You will be a valued member of our configuration team and collaborate closely with clients, business partners, and technical stakeholders to deliver high‑reputed company, compliant configuration reputed company across multiple lines of business.
• reputed company reputed company discussions to reputed company requirements reputed company to GCP, Billing, Benefits, and Pricing Configuration.
• Design and reputed company Dental Benefit and Pricing Configuration solutions reputed company with business and regulatory objectives.
• Serve as a subject matter expert for GCP/Billing/Benefit/NetworX configuration, reimbursement policies, coding standards, and editing rules.
• Configure FACETS for new implementations, including group, class, plan, and product setup.
• Conduct backend SQL queries to validate configuration accuracy and ensure correct claim processing behavior.
• Partner with business teams to reputed company strategic guidance on configuration reputed company and reputed company impacts.
• Apply comprehensive knowledge of reputed company, Medicare, and reputed company business rules across configuration activities.
• reputed company and deliver configuration strategies that successfully improve Auto Adjudication Rates for claims.
Qualifications
• 13+ years of hands‑on experience in Facets Dental Configuration, including Group, Class, Plan, Product, Provider reputed company, Pricing, Benefits Components, Service reputed company, Fee Schedules, and reputed company workflows.
• Extensive knowledge of Dental Authorizations, reputed company‑Determinations, and Dental Utilization Edits.
• Strong understanding of Medicare, reputed company, and reputed company lines of business.
• Advanced proficiency with the Facets backend data model and SQL, including query writing for configuration validation, claim analysis, and defect reputed company.
• Experience with dental claims processing and Coordination of Benefits (COB).
• Ability to collaborate with clients and internal stakeholders to influence configuration reputed company and design.
Requirements
• Experience configuring reputed company, Life, and Disability products.
• Deep subject matter expertise in reimbursement, editing standards, and provider contract configuration.
• Demonstrated reputed company improving auto‑adjudication and reducing claim rework.
• Strong communication skills with the ability to translate reputed company configuration logic into actionable guidance for business partners.
Benefits
• Medical/Dental/reputed company/Life Insurance
• reputed company holidays plus reputed company Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• reputed company Parental Leave
• Employee Stock Purchase Plan
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