





Tier-1 employer increases applicants but niche Facets expertise reduces broad applicant pool.
Requires domain-specific Facets claims expertise and healthcare claims knowledge, limiting cross-industry transferability.
Mandatory Facets ownership and advanced PL/SQL plus senior lead expectations create strict technical filters.
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Own end-to-end delivery and stability of Facets Claims including workflow, adjudication, pricing, and compliance.
Provide senior-level technical leadership, mentoring engineers and vendor teams, partnering with cross-functional teams to ensure high quality and timely delivery.
Drive continuous improvement via automation and AI for claims validation, monitoring, and operational efficiency.
Bachelor's degree or equivalent experience.
Hands-on experience with Facets and advanced proficiency in Oracle SQL / PL SQL.
Senior individual contributor experience with end-to-end ownership of Facets Claims solutions and technical leadership.
Work Experience Required: Not explicitly mentioned in the JD.
Experienced in leading mission-critical claims components with responsibility for outcomes and delivery quality.
Operates independently with minimal oversight and influences technical direction.
Has familiarity or exposure to automation, scripting, or AI-driven validation methods, and modern programming languages is a plus.