Advisory Services Consultant - FACETS Configuration

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

• Good collaboration with multiple scrum teams is must
• Take ownership of tasks, timeline, and quality of product
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

• 5+ years of experience FACETS configuration. Solid hands-on FACETS configuration areas like Benefit, Pricing, Membership, Provider, workflow, billing etc.
• 5+ years of experience US Healthcare domain.
• 5+ years of experience Agile and experience in Rally, JIRA, ALM etc.
• 3+ years of experience working as Business analyst, system analyst or technical analyst delivering/supporting extensions, custom application of FACETS
• 2+ years of experience EDI.
• 2+ years of experience Advance SQL.
• Solid knowledge of FACETS Data Model.
• Stay updated on industry trends and emerging technologies.
• Enhancing system capabilities and efficiency using FACEETS AI/ML technologies.
• Must have hands on experience to leverage AI/ML capabilities or automation in FACETS or peripherals applications of FACETS

• Experience of Analysis on large data of claims, membership, Provider etc. and provider the best solution/recommendations of configuration, integration, implementation
• Experience delivering software using Agile/Scrum methodology
• Hands on with cloud version of FACETS 6.0+
• Knowledge of Basic Cloud regarding the FACETS
• Hands of other (Like FACETS) claim processing adjudication. Health rules, PowerMHS, Mainframes etc.
• Effective communication and critical thinking skills
• Ability to work in a fast paced, fluid environment while maintaining adherence to standards and best practices
• US Healthcare industry experience
• Solid Understanding on FACETS end to end solution. FACETS integration, FACETS implements and FACETS configuration