Note: The job is a remote job and is open to candidates in USA. Cognizant is a technology and consulting company seeking a Facets Products Consultant Manager to serve as a senior consulting lead and subject matter expert for Facets healthcare payer applications. The role focuses on requirements discovery, solution design, configuration optimization, implementation strategy, claims processing efficiency, and client and delivery team leadership.
Responsibilities
- Serve as the primary Facets SME and trusted advisor, providing expertise on Facets configuration architecture, system capabilities, and best practices
- Lead requirements discovery workshops, design sessions, and solution reviews to translate business and operational needs into effective Facets configurations
- Assess current-state Facets environments and develop future-state optimization roadmaps, including recommendations for underutilized modules, configuration improvements, and measurable performance outcomes
- Design and recommend scalable solutions that improve claims processing efficiency, auto-adjudication performance, and operational effectiveness
- Partner with business and technical teams to analyze requirements, troubleshoot complex issues, and deliver innovative solutions aligned with client goals
- Develop and communicate project plans, implementation strategies, and configuration approaches for new business implementations, product enhancements, and optimization initiatives
- Provide consulting leadership throughout project lifecycles, including solution architecture, gap analysis, risk identification, and stakeholder communication
- Mentor client teams and transfer product knowledge to ensure long-term operational success and adoption
- Collaborate effectively across onshore and offshore delivery teams to drive successful project outcomes
- Support Facets ITS-related initiatives, enhancements, production support, and strategic transformation programs
Skills
- 10+ years of experience working with TriZetto Facets in consulting, implementation, configuration, or solution architecture roles
- Deep expertise in Facets core modules including Benefits, Provider, Enrollment, and Claims
- Strong experience conducting requirements gathering, business process analysis, solution design, and application configuration
- Advanced knowledge of Facets ITS functionality, claims adjudication processing, and related data structures
- Experience developing and implementing configuration strategies that improve operational efficiency and claims auto-adjudication performance
- Proven ability to evaluate current-state environments and develop future-state architecture and optimization recommendations
- Experience leading medium to large-scale healthcare payer implementations, enhancements, or transformation initiatives
- Strong analytical and problem-solving skills with the ability to interpret complex application configurations and business requirements
- Excellent verbal and written communication skills, including the ability to communicate technical concepts to both business and technical audiences
- Experience collaborating successfully within global onshore/offshore delivery models
- This is a remote position open to qualified applicants in the United States
- Applicants will be accepted till 10/15/2026
- Cognizant will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship
- This position cannot offer visa transfer or sponsorship now or in the future
- Experience with claims root cause analysis and claims processing optimization
- Expertise with Benefits Cost Shares, PCA, and Workflow configuration
- Experience resolving complex UM, COB, Provider, and Member Match issues
- Knowledge of Facets sub-modules and identifying opportunities to expand platform utilization
- Prior healthcare payer consulting experience supporting digital transformation, modernization, or operational improvement initiatives
- Experience creating measurable performance metrics and benchmarking configuration effectiveness
- Experience leading client-facing workshops, executive presentations, and solution governance activities
Benefits
- Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.
- 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
- Remote position open to qualified applicants in the United States
- Various wellbeing programs supporting a healthy work-life balance
Company Overview