Job Summary We are seeking an experienced Senior Manager, Product Consulting with deep FACETS expertise to lead consulting engagements, drive solution design, and provide strategic guidance for FACETS implementations and optimization initiatives. This individual will serve as a Subject Matter Expert (SME), partnering with business and technical stakeholders to design, configure, and optimize FACETS modules while improving operational efficiency and auto-adjudication rates.
The ideal candidate has extensive experience leading FACETS implementations, strong healthcare payer domain knowledge, and excellent consulting and communication skills.
Key Responsibilities
Serve as the FACETS Subject Matter Expert (SME) for core applications and sub-modules.
Lead business discovery sessions, requirements gathering, and solution design workshops.
Analyze business and technical requirements and recommend optimal FACETS configuration solutions.
Design and implement best-practice FACETS configurations to improve automation and operational efficiency.
Assess current FACETS architecture and develop future-state optimization strategies.
Lead medium to large-scale initiatives including:
FACETS implementations
Product enhancements
Application maintenance
Configuration optimization
Provide project planning guidance, implementation roadmaps, and measurable success metrics.
Collaborate with client architects, SMEs, business users, and technical teams.
Conduct solution architecture reviews, gap analysis, and recommend product enhancements or integrations.
Lead Proof of Concepts (POCs) and present solution recommendations to stakeholders.
Perform configuration analysis and troubleshoot complex FACETS issues.
Mentor project teams and provide knowledge transfer to client resources.
Work effectively within onshore/offshore delivery models.
Required Qualifications
5–10+ years of FACETS consulting experience
Proven experience leading FACETS implementation and optimization projects
Strong healthcare payer industry experience including:
Commercial
Medicare
Medicaid/Medi-Cal
Strong consulting, client-facing, and leadership experience
Excellent communication and presentation skills
Experience leading business discussions and design workshops
Strong analytical and problem-solving skills
Required FACETS Expertise Candidates should have strong experience in one or more of the following areas: Resource Type 1
Enrollment
Group/Class Plans
Billing
Membership
Accounting
Resource Type 2
Claims
Utilization Management (UM)
Coordination of Benefits (COB)
Preferred Technical Experience
Benefits configuration
Provider configuration
Enrollment configuration
Claims processing
Claims root cause analysis
Benefits cost share configuration
PCA
Workflow configuration
Member matching
Provider matching
UM and COB issue resolution
FACETS data model expertise
Configuration analysis and optimization
Core Competencies
Healthcare payer domain expertise
FACETS solution architecture
Requirements gathering
Business process analysis
Solution design
Configuration management
Gap analysis
Client consulting
Project leadership
Stakeholder management
Technical documentation
Cross-functional collaboration
Applicant Notices & Disclaimers
For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.This position's pay range is $65.00/hr - $70.00/hr.
