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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À propos de Cognizant
Cognizant (NASDAQ : CTSH) est un AI Builder et une entreprise de services numériques (ESN) élaborant des solutions complètes d’IA maximisant les investissements pour des résultats concrets. Sa profonde expertise des métiers, des processus et des technologies lui permet d’intégrer dans les systèmes technologiques le contexte unique de chaque organisation de l’ingénierie à la production à l’échelle. Son objectif : améliorer l’efficacité des équipes, créer de la valeur et permettre aux grandes entreprises de rester performantes dans un monde qui évolue rapidement. Pour en savoir plus : cognizant.ai ou @cognizant.
Renseignments suppplémentaires sur l'emploi
Les informations sur la rémunération sont exactes à la date de publication. Cognizant se réserve le droit de modifier ces informations à tout moment, conformément aux lois applicables.
Les exigences linguistiques varient selon les postes, mais nous demandons à tous les candidats d’avoir une connaissance de base de l’anglais afin de faciliter les communications internes à l’échelle de l’entreprise. Pour les postes basés au Québec, une maîtrise de l’anglais est requise puisque vous fournirez des services et collaborerez avec des parties prenantes situées hors de la province, qui ne parlent pas nécessairement le français.
Cognizant est un employeur souscrivant au principe de l’égalité d’accès à l’emploi. Votre candidature et votre dossier ne seront pas examinés en fonction de la race, de la couleur, du sexe, de la religion, des croyances, de l'orientation sexuelle, de l'identité de genre, de l'origine nationale, du handicap, de l'information génétique, de la grossesse, du statut d'ancien combattant ou de toute autre caractéristique protégée telle que décrite par les lois fédérales, provinciales ou locales.
Si vous avez un handicap qui nécessite un aménagement raisonnable pour rechercher une offre d'emploi ou poser une candidature, envoyiez un courriel à [email protected] avec votre demande et vos coordonnées.
