Facets Claims & Utilization Management (UM) Configuration Lead
Location: Remote
Employment Type: Full-Time
Job ID: 00069616171
Facets Claims & Utilization Management (UM) Configuration Lead
About the Role
As a Facets Claims & Utilization Management (UM) Configuration Lead, you will make an impact by designing and delivering scalable configuration solutions that support critical healthcare payer operations. You will be a valued member of the Healthcare Platform Consulting team and work collaboratively with business stakeholders, operations teams, product leaders, care management teams, network teams, and technology partners to optimize and enhance the TriZetto Facets platform.
This role is ideal for a healthcare configuration professional who enjoys solving complex business challenges, influencing platform strategy, and driving successful implementation outcomes across enterprise healthcare environments.
In this role, you will:
- Lead the design, configuration, and implementation of Facets Claims and Utilization Management solutions based on approved business requirements.
- Partner with business and operational stakeholders to develop scalable, reusable configuration solutions that support organizational growth and efficiency.
- Provide configuration leadership and subject matter expertise during global and detailed design sessions.
- Guide configuration activities across the project lifecycle, ensuring adherence to quality standards, timelines, and business objectives.
- Develop and maintain configuration documentation, ensuring accuracy, completeness, and business approval.
- Collaborate with operations, product, network, care management, and technology teams to define and deliver configuration requirements.
- Support requirement gathering and business process improvement initiatives by providing expertise in Facets functionality and capabilities.
- Lead configuration testing efforts, including test strategy development, test case creation, quality assurance, and user acceptance testing activities.
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
- Bachelor's degree or equivalent combination of education and professional experience.
- 5+ years of hands-on experience configuring TriZetto Facets Claims and Utilization Management (UM) modules.
- 5+ years of healthcare payer industry experience.
- Strong understanding of healthcare claims processing, utilization management workflows, and healthcare operations.
- Experience translating business requirements into effective system configuration solutions.
- Proven ability to lead configuration design activities across complex healthcare implementations.
- Experience supporting quality assurance, configuration testing, and user acceptance testing initiatives.
- Strong verbal and written communication skills with the ability to engage effectively with both business and technical stakeholders.
These Will Help You Stand Out
- Experience leading enterprise-scale Facets implementation, enhancement, or modernization initiatives.
- Knowledge of healthcare payer functions including Claims, Care Management, Provider Operations, and Utilization Management.
- Experience facilitating design workshops and client-facing requirements sessions.
- Familiarity with Agile and hybrid delivery methodologies.
- Demonstrated ability to mentor team members and provide configuration thought leadership across large programs.
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 $113,000 - $132,000 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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Sobre a Cognizant
Cognizant (NASDAQ: CTSH) é uma construtora de IA e fornecedora de serviços de tecnologia, criando a ponte entre o investimento em IA e o valor para as empresas por meio do desenvolvimento de soluções de IA completas para nossos clientes. Nossa profunda experiência em setores, processos e engenharia nos permite incorporar o contexto único de cada organização em sistemas tecnológicos que potencializam a capacidade humana, geram resultados tangíveis e mantêm empresas globais à frente em um mundo em rápida transformação. Saiba mais em cognizant.ai ou @cognizant.
A Cognizant é uma empregadora que investe em equidade. Sua candidatura não será pautada em raça, cor, gênero, sexualidade, credo, origem, deficiência, gravidez ou qualquer outra característica protegida pelas leis brasileiras.
Informações adicionais de emprego
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A Cognizant é uma empregadora que investe em equidade. Sua candidatura não será pautada em raça, cor, gênero, sexualidade, credo, origem, deficiência, gravidez ou qualquer outra característica protegida pelas leis brasileiras.
Se você tem uma deficiência que requer adaptações razoáveis para procurar uma vaga de emprego ou enviar uma candidatura, envie um e-mail para [email protected] com sua solicitação e informações de contato.
