Job Description

Huron is a global consultancy that collaborates with clients to drive strategic growth, ignite innovation and navigate constant change. Through a combination of strategy, expertise and creativity, we help clients accelerate operational, digital and cultural transformation, enabling the change they need to own their future. Join our team as the expert you are now and create your future. Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Huron is seeking experienced Optum CES Configuration SME with a strong background in Facets Configuration/implementation to support one of our clients in optimizing claims editing and adjudication processes. The ideal candidate will have deep expertise in Optum CES (Optum Claims Edit System) and Facets Configuration, bringing at least 5+ years of hands-on experience in both domains. **Key Responsibilities:** + Lead and execute **Optum CES implementations** , ensuring seamless integration with Facets. + Configure and optimize **Facets** to support claims processing and business requirements. + Analyze, design, and implement **claims editing rules and configurations** within Optum CES. + Collaborate with cross-functional teams to enhance claims adjudication workflows. + Troubleshoot and resolve **system configuration issues** related to Optum CES and Facets. + Provide **strategic guidance** to clients on best practices for **claims editing** and **compliance** . + Conduct **testing, validation, and documentation** for system changes and enhancements. **Required Qualifications:** + **5+ years** of experience with **Facets** . + **5+ years** of experience with **Optum CES (Optum Claims Edit System)** . + Strong understanding of **claims processing and adjudication** in a healthcare payer environment. + Experience working with or for Optum is highly preferred. + Ability to **analyze and configure** system rules to meet business requirements. + Excellent problem-solving skills with a detail-oriented mindset. + Strong communication skills for client-facing interactions and project collaboration. **Preferred Qualifications:** + Experience with **Optum CES** Implementation and integrations. + Knowledge of **EDI transactions, provider reimbursement, and claims workflows** . + Prior experience in a **consulting** or **healthcare IT** environment. **Position Level** Consultant **Country** United States of America At Huron, we're redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client's challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work...together. Are you the kind of person who stands ready to jump in, roll up your sleeves and transform ideas into action? Then come discover Huron. Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues. Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements. Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace.

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