Facets Benefit Configuration SME
About The Position
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. Huron is seeking a Facets Benefit Configuration Subject Matter Expert (SME) to support the design, configuration, and validation of benefits within the Facets core administration platform. This role plays a key part in ensuring our members receive accurate benefits and our operational teams are equipped with high-quality, reliable system configurations.
Requirements
- 5+ years of hands-on Facets benefit configuration experience within a health plan.
- Strong understanding of Medicare Advantage, benefit administration, and claims processing.
- Experience collaborating across cross-functional teams, including Actuary, Compliance, and Claims Operations.
- Analytical mindset, attention to detail, and strong problem-solving skills.
- Excellent communication and documentation skills.
Responsibilities
- Lead the end-to-end configuration of benefits in Facets, ensuring compliance with CMS guidelines, plan documents, and organizational standards.
- Translate benefit designs, Evidence of Coverage (EOC), and Summary of Benefits into accurate, system-ready configuration specifications.
- Partner with Product, Claims, Enrollment, and IT teams to validate benefit setup and resolve discrepancies.
- Perform configuration testing, regression testing, and root cause analysis for benefit-related claims issues.
- Support annual Medicare Advantage bid implementation, configuration updates, and release cycles.
- Serve as an internal expert on Facets benefit logic, pricing impacts, and downstream claims processing implications.
- Develop documentation, job aids, and configuration playbooks to standardize processes.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
