Sr. Benefit Configuration Specialist Healthcare Claims (Facets & SQL

Job Title: Sr. Benefit Configuration Specialist – Healthcare Claims (Facets & SQL)

Location: Mason, OH - On-site position

Duration : 12+ months contract with possible extension

Work Hours: 8:00 AM to 5:00 PM

Years of Experience: 6–11 years

Operating System: Windows

Job Summary:

This role focuses on configuration (60%) and participation in cross-functional meetings (40%) to capture and represent requirements.

The ideal candidate can lead or represent cross-functional meetings and play a key role in building, troubleshooting, and prototyping Medicaid products. Responsibilities include capturing business requirements, executing testing, and providing support for multiple Medicaid program implementations.

Key Responsibilities:

Act as a Senior Configuration Analyst within the Business Configuration Solutions team.

Design, implement, and execute member benefit configuration strategies.

Lead configuration-related projects that support system and process solutions.

Serve as a subject matter expert (SME) for configuration across Medicaid, Med/Surgical, and Medicare government implementations.

Conduct data analysis and troubleshooting using automated configuration tools.

Perform data preparation by removing duplicates, errors, and outliers; validate data using SQL queries.

Document requirements and process flows; execute testing for configuration enhancements.

Prioritize work independently to meet service level agreements and performance goals.

Collaborate with leadership on configuration roadmap initiatives, enabling automation and scalability.

Provide fit/gap analyses and feedback assessments for new client implementations.

Maintain strong working relationships with internal stakeholders at all organizational levels.

Required Skills & Qualifications:

Experience: 5+ years working with the Facets platform, benefit configuration, provider networks, and government programs (Medicare/Medicaid).

Technical: Proficiency in SQL and database concepts; strong data validation and query-building skills.

Tools: Experience with automation tools and configuration platforms; Oracle SQL and Facets for testing.

Domain: Solid understanding of healthcare claims, Medicaid/Medicare configuration, and benefit structure.

Soft Skills: Strong analytical and problem-solving abilities; effective communication and interpersonal skills.

Education: Bachelor’s degree or equivalent work experience.

Desirable Attributes:

Experience with Informatica or similar automation/configuration tools.

Quick learner, able to adapt to changing priorities and complex environments.

Ability to manage multiple tasks efficiently while maintaining attention to detail.

Please connect with me at or drop me your contact at .

Anil Chamoli

Lead - Recruitment

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