Lead Facets System Engineer; Remote Job Reston Virginia USA,IT/Tech

Resp & Qualifications

Defines, designs and develops system requirements. Performs trade-off analysis of performance, life-cycle cost, risk, producibility, and other system or program requirements. Assesses architecture and current hardware limitations, defines and designs system specifications, and evaluates input/output processes and working parameters for hardware/software compatibility. Coordinates design of subsystems and integration of total system. Defines system support requirements to include monitoring, capacity, staffing and patching/updating.

Analyzes and resolves program support deficiencies. Conducts independent technical investigations in systems design.

Purpose Resp & Qualifications

Essential Functions

Installs, tunes, upgrades, troubleshoots, and maintains all computer systems relevant to the supported applications including all necessary tasks to perform operating system administration, user account management, disaster recovery strategy and networking configuration.
Develop and implement techniques to prevent system problems, troubleshoots incidents to recover services, and support the root cause analysis
Evaluates new systems by performing in-depth tests, including end-user reviews. Researches software and related products to support recommendations and purchasing. Determines systems integration issues by evaluating components; developing and completing performance tests; analyzing test data; studying project requirements; analyzing user and potential user input; evaluating similar and related products and systems. Develop system automation and system integration of business processes.
Improves engineering job knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.
Acts as a mentor for junior and senior team members.

Supervisory Responsibility

Leads a team utilizing a matrix management system.

Qualifications

Education Level: Bachelor's Degree in Information Technology or Computer Science OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Licenses/Certifications

ITIL Foundations v3 within 180 Days Preferred

Experience

8 years proven success overseeing the design, development, and implementation of software systems and applications.

Preferred Qualifications

8+ years of experience supporting, administering, engineering, or implementing the Facets platform in a healthcare payer environment.
8+ years of experience with health insurance claims processing, including claims lifecycle, adjudication, benefits configuration, provider servicing, membership, and production support.
Experience troubleshooting and resolving complex claims processing issues, system integrations, and production incidents impacting claims operations.
Experience leading large-scale system implementations, upgrades, integrations, or transformation initiatives supporting healthcare claims platforms.
Experience collaborating with business operations teams including Claims, Enrollment, Provider Services, Customer Service, and Configuration teams.
Experience with healthcare EDI transactions, claims workflows, and related integrations is preferred.
Experience with Blue Cross Blue Shield Inter-Plan Processing (IPP) is preferred.

Knowledge,

Skills And Abilities

(KSAs)

Knowledge of programming languages and web based technologies.
Proficient in Microsoft Office applications.
Ability to collaborate to solve technical problems across teams.
Excellent communication skills both written and verbal.
Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate…