✦ Luna Orbit — Business Analysis

Facets Workflow Consultant

at Vaiticka Solutions

📍 Remote, US Remote 💰 $53 – $55 USD / year Posted March 04, 2026
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Position Details

Salary $53 – $55 USD / year
Type Contract
Experience mid
Exp. Years 5–8 years
Education Not specified
Category Business Analysis

About this role

This role involves analyzing and optimizing claims and benefits workflows within the Facets platform, supporting healthcare payer operations.

Key Responsibilities

  • Review workflow rules
  • Identify customizations
  • Map rule dependencies
  • Validate rule behavior
  • Recommend optimizations

Technical Overview

The position requires expertise in Facets configuration, SQL, and claims workflow analysis within healthcare insurance environments.

Ideal Candidate

The ideal candidate is a seasoned healthcare business analyst with 5+ years of experience working with Facets, possessing strong analytical skills, and deep knowledge of claims workflows and benefits administration within US healthcare payers.

Must-Have Skills

5–8 years as a Business or System Analyst working with FacetsStrong understanding of claims workflowsExperience reviewing large rule/configuration repositoriesKnowledge of US healthcare payer operationsAbility to interpret complex rules

Nice-to-Have Skills

Facets Workflow Rules ConfigurationSQL for rule impact analysisKnowledge of state/regulatory variations

Tools & Platforms

FacetsSQL

Required Skills

Facets Workflow Rules ConfigurationSQLFacets Data ModelClaims workflowsBenefits administrationHealthcare payer operationsRule impact analysis

Hard Skills

Facets Workflow Rules ConfigurationSQLFacets Data ModelClaims workflowsBenefits administrationHealthcare payer operationsRule impact analysisConfiguration review

Soft Skills

Critical thinkingProblem solvingLeadershipCollaborationCommunication

Industry & Role

Industry Healthcare IT
Job Function Claims and benefits workflow analysis and optimization

Keywords for Your Resume

Facets Workflow Rules ConfigurationSQLFacets Data ModelClaims workflowsBenefits administrationHealthcare payer operationsRule impact analysisClaims workflows reviewClaims rulesClaims configurationClaims system analysisClaims rules optimizationClaims rule reviewClaims rule mappingClaims impact analysisclaims workflowsbenefits administrationhealthcare payer operationsrule impact analysisclaims reviewclaims configurationclaims analysisclaims rules

Deal Breakers

Less than 5 years of experience with Facets, Lack of healthcare payer operations knowledge, Inability to work remotely, Poor analytical skills

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