
Senior Product Consultant - Facets (Payer Domain)
Nice to have's
Job description
About the Position
Senior Product Consultant - Facets (Payer Domain)
About the Role
As a Senior Product Consultant - Facets (Payer Domain), you will make an impact by partnering with healthcare payer clients to design, optimize, and enhance Facets solutions across claims, membership, provider, group, and plan product domains. You will leverage deep payer industry expertise and advanced Facets knowledge to translate complex business requirements into scalable, compliant, and efficient solutions that improve operational performance and member outcomes.
You will be a valued member of the Healthcare Consulting team and work closely with business stakeholders, operations leaders, product owners, architects, and technology teams to drive successful Facets implementations and transformation initiatives.
Responsibilities
- Lead end-to-end consulting engagements for payer clients, analyzing business processes and translating requirements into optimized Facets solutions.
- Conduct requirement discovery workshops with business stakeholders to capture needs related to claims, provider networks, membership, eligibility, benefits, and group administration.
- Design and recommend scalable Facets configurations that improve claims adjudication accuracy, member eligibility management, and operational efficiency.
- Perform impact assessments for Facets enhancements and changes across claims, membership, provider, group, and plan product modules to protect system integrity and downstream processes.
- Configure and validate plan product setups, including benefit designs, accumulators, coverage rules, and related business configurations.
- Analyze and resolve complex Facets workflow and data issues by leveraging a deep understanding of the Facets data model and business processes.
- Collaborate with technology and integration teams to define provider, membership, and claims data requirements that support enterprise business objectives.
- Develop testing strategies and oversee functional, integration, and regression testing to ensure successful solution delivery.
- Create process documentation, solution artifacts, and best-practice guidance to support operational excellence and knowledge sharing.
- Provide ongoing consulting support and product expertise to business users, helping drive continuous improvement and effective use of the Facets platform.
- Analyze operational metrics and system performance data to identify opportunities for process optimization, cost containment, and enhanced member experiences.
- Foster collaboration across distributed teams and client organizations while maintaining strong stakeholder engagement in a hybrid work environment.
Requirements
- 8+ years of experience in product consulting, business analysis, solution consulting, or related roles within the healthcare payer industry.
- Advanced knowledge of the Facets data model, including table relationships, data structures, and system configuration principles.
- Strong hands-on experience with Facets Claims, including adjudication workflows, benefit determination, pricing, and claims processing.
- Deep expertise in Facets Membership, including eligibility management, enrollment structures, subscriber and dependent relationships, and coverage administration.
- Experience configuring and supporting Facets Provider functionality, including provider data management, contract structures, participation status, and reimbursement arrangements.
- Strong knowledge of Facets Group administration, including group hierarchies, account structures, and billing-related configurations.
- Expertise in Facets Plan Product configuration, including benefit structures, accumulators, coverage rules, and regulatory compliance requirements.
- Strong understanding of healthcare payer operations, health plan administration, and industry regulations.
- Experience gathering requirements, conducting impact assessments, and translating business needs into functional and technical solution designs.
- Proven ability to perform data analysis, troubleshoot system issues, and develop evidence-based recommendations.
- Strong communication, presentation, and documentation skills with experience engaging both business and technical stakeholders.
Nice to Have
- Experience leading large-scale Facets implementation, optimization, or modernization programs.
- Knowledge of healthcare enrollment, billing, provider network management, and claims operations.
- Experience supporting health plans across Commercial, Medicare, Medicaid, or Marketplace lines of business.
- Experience working with enterprise integration solutions and healthcare data exchanges.
- Familiarity with Agile delivery methodologies and healthcare technology transformation initiatives.
- Experience mentoring analysts, consultants, and implementation teams.
- Strong understanding of quality assurance, testing methodologies, and release management processes.
- Facets certification or other healthcare payer platform certifications.
Work Model
Work Model: Remote
This is a fully remote position, allowing associates to work from their home office while collaborating closely with healthcare payer clients, business stakeholders, and cross-functional teams. The role requires strong virtual communication, stakeholder engagement, and collaboration skills to successfully deliver Facets consulting, solution design, and operational improvement initiatives across distributed teams.
Salary
The annual salary for this position will be in the range of $99K - $114K depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.
Benefits
Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
- Medical/Dental/Vision/Life Insurance
- Paid holidays plus Paid Time Off
- 401(k) plan and contributions
- Long-term/Short-term Disability
- Paid Parental Leave
- Employee Stock Purchase Plan
About Cognizant
At Cognizant, we're engineering modern businesses to improve everyday life. Our associates enjoy a collaborative environment, opportunities for continuous learning, and the ability to work on meaningful projects that drive innovation and business value across the healthcare ecosystem.
We're excited to meet individuals who are passionate about healthcare transformation, payer operations, and delivering impactful Facets solutions. Even if you don't meet every qualification listed, we encourage you to apply and showcase the unique experiences and skills you can bring to the role.
Additional employment information
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government-issued ID during each interview.
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status, or any other characteristic protected by federal, state, or local laws.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.
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Benefits that help you thrive and grow
Our benefits program is built with you in mind-so you can enjoy a fulfilling, balanced, and healthy life.
Financial wellbeing
We regularly review market data to ensure compensation reflects the value you bring. Your benefits extend beyond pay and may include retirement plans, financial education, etc.
Physical and mental health
We empower you to prioritize your wellbeing through paid time off, flexible working where possible, healthcare plans, counselling, our Mental Health Allyship program, and more.
Your career, your way
With 350,000+ roles at Cognizant, you’ll have opportunities to explore new technologies, industries, and locations-and build the skills you need to grow your career.
Real-world impact
Think about the biggest brands you rely on. Chances are, they rely on us to help strengthen their business. Here, you’ll turn bold ideas into solutions that improve lives everywhere.
Your path to Cognizant
Here’s what you can expect from our hiring process. Please keep in mind that it may vary by role and location. Explore our FAQs to learn more.
Step 1: Apply to the right opportunity
Find an open role that matches your skills and career goals and show us why you’re the person for the job. Don’t see the right opportunity? Consider joining our Talent Community.
Step 2: Connect with your recruiter
If one of our recruiters sees a fit, they’ll set up a short intro call to learn more about you and how your experiences and skills match the role.
Step 3: Show off your skills
If you and our team would like to continue the process, you’ll interview with our hiring team. Some roles may also require technical assessments and/or client interviews.
Step 4: Decision time
Our team will then review each candidate’s potential to succeed in the role. This step may take some time because we want to find the right fit for both you and us-but you can count on us to keep you updated.
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Cognizant (Nasdaq-100: CTSH) is one of the world’s leading professional services companies, transforming clients’ business, operating and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient businesses. Headquartered in the US, Cognizant is ranked 185 on the Fortune 500 and is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital atwww.cognizant.comor follow us @Cognizant.
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