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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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.
À savoir avant de postuler
- Autorisation de travail: Cognizant ne prendra en considération que les candidats à ce poste qui sont légalement autorisés à travailler au Canada sans avoir besoin d'un parrainage de l'employeur, aujourd'hui ou à l'avenir.
- Mesures d’adaptation: Si vous avez un handicap qui nécessite des mesures d’adaptation raisonnable pour effectuer une recherche d’emploi ou poser une candidature, veuillez envoyer un courriel à [email protected] avec votre demande et vos coordonnées.
- L’IA dans notre processus de recrutement: Nous utilisons des outils d'intelligence artificielle (IA) pour trier et évaluer les candidatures efficacement. Notre équipe examine ensuite les candidatures et décide qui passe à l’étape suivante.
- Poste à pourvoir: Sauf indication contraire, ce poste est actuellement vacant et nous cherchons à le pourvoir.
- Exigences linguistiques: Nous demandons à tous les candidats de posséder une connaissance de base de l’anglais afin de faciliter les communications internes. Pour les postes au Québec, la capacité à communiquer efficacement en anglais est requise car vous fournirez des services à et collaborerez avec des parties prenantes anglophones situées hors de la province.
- Inclusion: 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, des renseignements génétiques, de la grossesse, du statut d'ancien combattant ou de toute autre caractéristique protégée par les lois fédérales, provinciales ou locales.
