Facets Configuration Analyst (Remote - Canada)
Location: Canada (Remote)
Employment Type: Full-Time
Job ID: 00070522081
About the Role
As a Facets Configuration Analyst, you will make an impact by supporting healthcare payer clients through Facets configuration, benefits administration, provider contract setup, pricing configuration, and claims adjudication optimization. You will be a valued member of the Healthcare Technology team and work collaboratively with business stakeholders, operations teams, claims analysts, and client partners to deliver high-quality configuration solutions that improve system performance and operational efficiency. Based on the Global Job Posting Template, the role should focus on the most critical responsibilities and qualifications.
In this role, you will:
- Configure and maintain Facets Group, Class, Plan, Product, Benefits, Service Groups, Fee Tables, Workflow, and related configuration components for new implementations and existing health plan environments.
- Interpret provider and reimbursement contracts and configure pricing requirements within the Facets NetworX module to support accurate claims processing.
- Analyze, troubleshoot, and resolve claims adjudication and claim pend issues by identifying root causes and implementing effective configuration solutions.
- Perform backend data analysis and SQL query validation to verify configuration accuracy and ensure alignment with claims processing requirements.
- Partner with business stakeholders and clients to recommend optimal configuration approaches and support informed decision-making.
- Identify and implement configuration enhancements that improve auto-adjudication rates, operational efficiency, and overall claims performance.
- Support Medicare and Medicaid line of business requirements, ensuring configurations comply with program-specific regulations and business rules.
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 anywhere in Canada. 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 and may change based on business or client requirements.
What You Need to Have to Be Considered
- 5+ years of hands-on experience configuring the TriZetto Facets platform in a healthcare payer environment.
- Strong experience configuring Group, Class, Plan, Product, Benefits, Provider Contracts, Pricing, Service Groups, Fee Tables, Workflow, CMU, and related Facets modules.
- Proven experience interpreting provider reimbursement contracts and translating business requirements into Facets configuration solutions.
- Strong knowledge of Facets backend functionality, including SQL query development, configuration validation, and claims processing analysis.
- Experience troubleshooting claim adjudication, claim pend, and configuration-related issues.
- Demonstrated experience supporting Medicare and Medicaid lines of business.
- Ability to collaborate effectively with business users, operations teams, and clients to deliver scalable healthcare payer solutions.
- Strong analytical, problem-solving, and communication skills.
These Will Help You Stand Out
- Experience with Facets NetworX configuration and provider pricing setups.
- Knowledge of healthcare claims payment methodologies and reimbursement models.
- Experience supporting large-scale Facets implementations or migration initiatives.
- Understanding of healthcare payer operations, benefits administration, and claims lifecycle processes.
- Familiarity with healthcare regulatory requirements impacting Medicare and Medicaid programs.
Salary and Other Compensation:
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.
*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 $67,000 - $79,000 CAD 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.
