Huron is seeking a Financial Reconciliation Manager to support healthcare payer clients in optimizing financial operations and ensuring compliance with government programs. The ideal candidate should have extensive experience in healthcare payer operations, particularly with financial reconciliation and Facets integration
Job Summary
This role supports payer clients in reconciling premium billing and payments from government programs to ensure financial integrity.
The position requires deep expertise in Facets configuration and FRM to identify revenue leakage and optimize reconciliation processes.
Candidates must partner with IT and finance teams to troubleshoot discrepancies and ensure alignment with CMS reporting requirements.
Matching Summary
Match Score: 85
Huron is seeking a Financial Reconciliation Manager to support healthcare payer clients in optimizing financial operations and ensuring compliance with government programs. The ideal candidate should have extensive experience in healthcare payer operations, particularly with financial reconciliation and Facets integration.
Skills & Requirements
Must-have
5+ years healthcare payer experience
Facets (TriZetto) configuration expertise
FRM product financial reconciliation
Medicare and Medicaid billing knowledge
834 transactions and EDI data structures
Nice-to-have
SQL or data analytics experience
AI tools such as CoPilot usage
Large-scale payer system implementations
Risk adjustment validation experience
Consulting or client-facing environment
Key Requirements
5+ years working experience within Healthcare Payer Operations
5+ years of hands-on experience with Facets (TriZetto)
Strong expertise in financial workflows and 834 transactions