Job SummaryWe are seeking a highly experienced
Lead Product Consultant - Facets Workflow SME with deep expertise in
Facets Plan Product, Membership, and Group modules within the healthcare payer domain. The ideal candidate will serve as a strategic advisor, leading workflow analysis, solution design, and implementation initiatives for healthcare administration systems. This role requires extensive experience in Facets configuration, healthcare operations, business process optimization, and cross-functional collaboration to deliver scalable, efficient, and integrated solutions that align with organizational goals.
Must Have's1. Facets Configuration Benefits, Claims, UM experience
2. Workflow functionality experience
3. Lead and Facilitate Client Meetings
Key Responsibilities- Lead workflow analysis and solution design for healthcare payer administration systems using the Facets platform.
- Act as a Subject Matter Expert (SME) for Facets Plan Product, Membership, and Group modules.
- Collaborate with business stakeholders, product owners, architects, and technology teams to gather and translate business requirements into functional and technical solutions.
- Analyze end-to-end business processes and identify opportunities for workflow optimization and operational efficiency.
- Design scalable Facets configurations and integrated solutions that support business objectives and regulatory requirements.
- Provide leadership and guidance to configuration, integration, testing, and implementation teams.
- Identify workflow gaps, process bottlenecks, and cross-functional dependencies, recommending effective resolutions.
- Ensure high-quality solution delivery by minimizing configuration defects and implementation risks.
- Support system integration activities, user acceptance testing (UAT), and production deployment efforts.
- Facilitate workshops, requirement sessions, and stakeholder meetings to drive alignment and solution adoption.
- Partner with project managers and technical teams to ensure timely delivery of project milestones.
- Provide ongoing support, issue resolution, and continuous improvement recommendations for Facets-based solutions.
- Maintain documentation including business process flows, solution designs, and configuration specifications.
Required Qualifications- 10+ years of experience in Healthcare Payer Administration Systems.
- Strong expertise in Facets Plan Product, Membership, and Group modules.
- Extensive experience in Facets workflow analysis, configuration, and implementation.
- Deep understanding of healthcare payer operations, enrollment, membership management, and benefit administration.
- Experience with system integration, business process mapping, and workflow optimization.
- Strong analytical, problem-solving, and decision-making capabilities.
- Excellent communication and stakeholder management skills.
- Experience leading cross-functional teams in Agile and Waterfall environments.
- Ability to work effectively with business, technical, and operational teams.
Preferred Qualifications- Experience in healthcare digital transformation or modernization programs.
- Exposure to claims, provider, and benefits administration workflows.
- Knowledge of healthcare regulations and compliance requirements.
- Experience with Facets upgrades, conversions, and migration projects.
