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Facets Provider Functional SME

00070371981

Facets Provider Functional SME

Location: Remote
Employment Type: Full-Time

Job ID: 00070371981

About the Role

As a Facets Provider Functional SME, you will make an impact by supporting healthcare payer transformation initiatives through provider configuration, network management, contracting, pricing integration, and claims adjudication within the TriZetto Facets platform. You will be a valued member of the healthcare delivery team and work collaboratively with business stakeholders, implementation teams, claims, pricing, and provider operations teams to deliver successful Facets implementation, migration, and modernization programs.

In this role, you will:

  • Lead provider-focused requirements gathering sessions and facilitate solution design workshops with business and technical stakeholders.
  • Configure and analyze provider structures, including practitioners, facilities, provider groups, taxonomies, specialties, and provider relationships within Facets.
  • Support provider network, participation, and contract configuration to ensure accurate claims processing and business operations.
  • Partner with claims, pricing, and business teams to validate provider setup and optimize claims adjudication outcomes.
  • Drive provider data migration, testing, reconciliation, defect resolution, and production support activities throughout the project lifecycle.

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.

What You Need to Have to Be Considered

  • 8+ years of healthcare payer industry experience.
  • 5+ years of hands-on functional experience with TriZetto Facets Provider modules.
  • Strong expertise in provider configuration, provider networks, provider contracting, and provider relationship management.
  • Knowledge of claims adjudication processes and Medicare, Medicaid, and Commercial healthcare products.
  • Experience supporting Facets implementation, migration, modernization, or transformation programs.
  • Proven ability to perform business analysis, impact assessments, testing support, and defect triage.
  • Strong communication, stakeholder management, and problem-solving skills.

These Will Help You Stand Out

  • Experience with NetworX Pricing and Contracting.
  • Experience leading provider data conversion, migration, and reconciliation activities.
  • Knowledge of credentialing, provider operations, and network management processes.
  • Experience working on large-scale healthcare payer transformation initiatives.
  • Familiarity with cross-functional collaboration across provider, claims, pricing, and business operations teams.

Salary and Other Compensation:

Applicants will be accepted till 9/15/2026

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 cannot offer visa transfer or sponsorship now or in the future*

The annual salary for this position will be in the range of $150,000 - $170,000 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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About Cognizant
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant.

Things to know before you apply

  • Work authorization: Cognizant will only consider applicants for this position who are legally authorized to work in Canada without requiring employer sponsorship, now or at any time in the future.
  • Accommodations: 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.
  • AI in hiring: We use artificial intelligence (AI) tools to help us screen and assess applications more efficiently. Our team performs additional human review and ultimately decides who moves forward in our hiring process.
  • Open position: Unless otherwise stated, this job posting is for an open position on our team.
  • Language proficiency: We ask that all candidates have basic English proficiency for company-wide communications purposes. For roles based in Quebec, professional English proficiency is required, as you’ll deliver services to and collaborate with stakeholders outside the province who may not speak French.
  • Inclusion: 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, provincial or local laws.

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.

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Financial wellbeing

We regularly review market data to ensure compensation reflects the value you bring. Your benefits extend beyond pay and may include financial education, a pension plan with matching contributions, etc.

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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. 

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Your career, your way

With 350,000+ roles at Cognizant, you’ll have opportunities explore new technologies, industries and locations—and build the skills you need to grow your career.

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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.

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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.

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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.

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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.

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Step 4: Decision time

Our team will then review each candidates’ 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.

CAN Brigitte
Cognizant is great for those wanting to make the world a better place, as we create solutions with top technology partners to address complex problems for our clients.
Brigitte Roy Director of Strategy Alliances
CAN Rahul
I’m supported by motivational leaders who empower me to grow in my career through learning programs, industry conferences and internal job moves. I’m proud of the career progression I’m making here.
Rahul Sathe Principal Product Architect – Insurance
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The moment I joined Cognizant, I felt like I belonged. I was heard and empowered to challenge ideas—and I still am to this day.
Dr. Amita Oppal Gill Service Line Sales Manager
1 (2)
Cognizant has one of the best learning ecosystems you can ask for. From sponsored certifications to training platforms to mentorship, we have all that we need to grow.
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