Team Lead Configuration Healthcare

This position is Hybrid.

Job Summary

We are seeking a dedicated and skilled Team Lead - HC with 1 to 3 years of experience to join our team. The ideal candidate will have mandatory technical skills in Facets - Claims and Facets with a preference for domain experience in Claims and Payer. This is a work-from-home position with day shifts and no travel required.

Responsibilities

• Lead and oversee the daily operations of the team to ensure efficient workflow and timely completion of tasks.
• Provide technical expertise in Facets
• Claims and Facets to support team members and resolve complex issues.
• Collaborate with cross-functional teams to ensure seamless integration and functionality of Facets systems.
• Monitor and analyze system performance to identify areas for improvement and implement necessary changes.
• Develop and maintain documentation for system processes procedures and troubleshooting guides.
• Ensure compliance with industry standards and regulations related to Claims and Payer domains.
• Conduct regular team meetings to discuss progress address challenges and share updates.
• Mentor and train team members to enhance their technical skills and knowledge in Facets systems.
• Coordinate with stakeholders to gather requirements and provide updates on project status.
• Implement best practices for system maintenance upgrades and enhancements.
• Provide support during system outages or issues to minimize downtime and ensure continuity of operations.
• Participate in the development and execution of test plans to validate system functionality and performance.
• Foster a collaborative and positive work environment to promote team cohesion and productivity.

Qualifications

• Knowledge in Healthcare domain.
• Knowledge in Facets Architecture and Core Functionalities of Facets which includes Membership, Claim Processing, Provider structure and Plan/Product.
• Good understanding in Members benefits Configuration.
• Knowledge in Claims UM components configuration.
• Knowledge in Provider and Network configuration.
• Good understanding in Network agreement and pricing configuration.
• Knowledge in Facets GUI navigation.
• Strong SQL Skill Set (Writing Complex Queries, SP, Functions, Views)