Sr. Facets Configuration Consultant; Remote

Senior Facets Configuration Consultant

Location: Remote

Employment Type: Full-Time

Job :

Senior Facets Configuration Consultant – Membership, Enrollment & Billing

As a Senior Facets Configuration Consultant
, you will make an impact by leading complex functional design, analysis, and configuration efforts across membership, enrollment, billing, and ASO billing workflows within Tri Zetto Facets. You will be a valued member of our healthcare technology team and work collaboratively with business stakeholders, technical teams, and client leadership to deliver scalable, accurate, and high‑performing configuration solutions.

This role is ideal for an expert in Facets membership and billing operations who can serve as a trusted advisor, guide clients through design decisions, and support end‑to‑end solution execution.

• Lead and facilitate requirements discovery sessions to determine optimal Facets configuration strategies across membership, enrollment, premium billing, and ASO billing processes.
• Apply advanced understanding of key Facets functional areas, including:
  • Membership & Enrollment
  • Premium Billing
  • ASO Billing & Alternate Funding Agreements (AFA)
• Analyze application behavior, assess impacts of configuration changes, and design scalable, compliant solutions.
• Serve as a subject‑matter expert for customers, providing guidance on configuration standards, best practices, design alternatives, and downstream operational impacts.
• Partner with business owners, technical teams, and downstream system managers to ensure complete end‑to‑end alignment across all integrated processes.
• Troubleshoot and resolve complex configuration issues, supporting production operations including batch billing cycles, invoice generation, and reconciliation.
• Create and deliver clear, concise documentation such as design specs, functional analyses, and status updates.
• Support collaboration across onshore and offshore models, ensuring smooth knowledge transition and delivery continuity.
• Mentor junior consultants and client teams, providing hands‑on knowledge transfer when needed.

We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants across the United States. Regardless of your working arrangement, we support a healthy work–life balance through our wellbeing programs.

Working arrangements for this role are accurate as of the posting date and may change based on business or client needs.

• 10+ years of healthcare industry experience, including 10 years of recent, hands‑on Tri Zetto Facets experience focused on membership, enrollment, premium billing, and ASO billing.
• Deep expertise in:
  • Membership/enrollment configuration
  • Group, subgroup, and billing entity setup
  • TPA business models and ASO billing constructs (contract periods, stop loss, fee schedules, invoice generation)
  • Facets data structures and reporting impacts
  • Experience integrating Facets with CRM, underwriting, quoting, rating, or pricing platforms.
• Strong analytical and problem‑solving skills with the ability to interpret configuration logic, batch processes, and billing outputs.
• Proven success working in complex, cross‑functional consulting environments.
• Excellent communication and documentation skills with the ability to present configuration concepts to both technical and non‑technical audiences.
• Ability to occasionally be onsite based on client engagement needs.

• Experience supporting Individual, Commercial, and Medicaid lines of business.
• Prior consulting experience guiding clients through system transformation or optimization initiatives.
• Familiarity with healthcare payer operations and regulatory requirements.
• Experience mentoring junior team members or leading functional work streams.

We’re excited to meet experienced Facets experts who are passionate about solving complex healthcare configuration challenges. Don’t hesitate to apply—even if you don’t meet every preferred qualification. Your depth in membership, enrollment, and billing may make you an excellent fit for this role.