Associate Director - Facets Enrollment & Billing Consultant (Remote)
Location: Remote
Employment Type: Full-Time
Job ID: 00069618152
Associate Director - Facets Enrollment & Billing Consultant (Remote)
About the Role
As a Senior Facets Enrollment & Billing Consultant, you will make an impact by designing, implementing, and optimizing enrollment and billing solutions that support critical healthcare payer operations. You will be a valued member of our Healthcare Platform Consulting team and work collaboratively with business stakeholders, operations leaders, technology teams, and client partners to deliver innovative, scalable solutions across Commercial, ASO, Medicare, and Medicaid lines of business.
This role is ideal for a healthcare payer expert who thrives on solving complex business challenges, leading configuration initiatives, and helping organizations maximize the value of their Facets platform investments.
In this role, you will:
- Lead enrollment and billing configuration initiatives for TriZetto Facets, ensuring successful implementation and ongoing optimization of solutions.
- Design and configure Group, Class, Plan (GCP), membership, enrollment, billing, and accounting components based on business requirements.
- Partner with business, operations, and technology teams to align project objectives, deliverables, and implementation strategies.
- Analyze and interpret complex billing requirements, including ASO, AFA, TPA, and commercial billing models.
- Monitor project progress, proactively identify risks, and recommend solutions that support successful project outcomes.
- Support system enhancements, testing activities, and production readiness efforts to ensure high-quality deliverables.
- Provide subject matter expertise on Facets enrollment, billing processes, data structures, reporting impacts, and batch processing.
- Promote continuous improvement through process optimization, knowledge sharing, and stakeholder collaboration.
Work Model
We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants in the United States.
Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.
The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.
What You Need to Have to Be Considered
- 10+ years of experience supporting Facets Enrollment and Billing solutions within healthcare payer organizations.
- Deep expertise in Facets Membership, Enrollment, Group, Class, Plan (GCP), Billing, and Accounting configuration.
- Strong understanding of TPA business models, ASO/AFA billing constructs, contract periods, stop-loss arrangements, fee schedules, and invoice generation processes.
- Experience working with Commercial, Individual, Medicare, and Medicaid healthcare products.
- Strong knowledge of Facets data structures, billing workflows, reporting impacts, and batch processing.
- Advanced SQL skills with experience supporting analysis, validation, troubleshooting, and solution development.
- Proven experience leading complex healthcare implementation, enhancement, or transformation initiatives.
- Excellent written and verbal communication skills with the ability to effectively engage business and technical stakeholders.
These Will Help You Stand Out
- Experience with quoting, underwriting, and premium billing processes.
- Expertise supporting large-scale healthcare payer modernization or platform transformation initiatives.
- Knowledge of healthcare claims, enrollment, membership, and financial operations.
- Experience mentoring team members and providing leadership across cross-functional project teams.
- Familiarity with Agile delivery methodologies and healthcare industry best practices.
- Strong consulting skills and experience working directly with clients and executive stakeholders.
Salary and Other Compensation:
Applicants will be accepted till 8/14/2026
Cognizant will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship.
*Please note, this role is not able to offer visa transfer or sponsorship now or in the future*
The annual salary for this position will be in the range of $152,000 - $180,000 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
Disclaimer: The salary, other compensation, and benefits 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.
Our strength is built on our ability to work together. Our diverse backgrounds offer different perspectives and new ways of thinking. It encourages lively discussions, creativity, productivity, and helps us build better solutions for our clients. We want someone who thrives in this setting and is inspired to craft meaningful solutions through true collaboration.
If you are content with ambiguity, excited by change, and excel through autonomy, we’d love to hear from you!
Apply Now!
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关于高知特 (Cognizant)
高知特(Cognizant)（纳斯达克代码：CTSH）作为一家AI Builder和相关技术服务提供商，致力于通过打造全栈AI解决方案，帮助企业将人工智能投资转化为实际价值。公司凭借深厚的行业经验、流程优化和工程技术专长，将企业独特的业务场景融入科技系统，赋能组织释放人才潜能，推动切实成果，并帮助全球企业在瞬息万变的环境中保持领先。如需了解更多详情，敬请访问 cognizant.ai 或关注@cognizant。
补充雇佣信息
薪酬信息截至本职位发布之日为准。Cognizant 保留在适用法律允许的范围内随时修改该信息的权利。
申请人可能需要通过现场面试或视频会议的方式参加面试。此外，候选人在每次面试时可能需要出示其当前所在州或政府签发的有效身份证件。
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