Facets DOFR / Capitation Consultant (Remote)
Location: Remote
Employment Type: Full-Time
Job ID: 00069617061
Facets DOFR / Capitation Consultant (Remote)
About the Role
As a DOFR / Capitation Consultant, you will make an impact by leading the design, configuration, and optimization of healthcare reimbursement solutions that support critical payer operations. You will be a valued member of the Healthcare Platform Consulting team and work collaboratively with business stakeholders, operations leaders, technology teams, and client partners to deliver scalable, compliant, and high-performing Facets DOFR and Capitation solutions.
This is an exciting opportunity for a healthcare domain expert who enjoys solving complex business challenges, driving system improvements, and influencing strategic initiatives across Commercial, ASO, Medicare, and Medicaid lines of business.
In this role, you will:
- Lead the design, configuration, and implementation of Facets DOFR and Capitation solutions to meet client and business requirements.
- Partner with business, operations, and technology teams to define project objectives, requirements, and deliverables.
- Manage complex initiatives, ensuring project milestones, timelines, and quality standards are achieved.
- Provide subject matter expertise on DOFR, Capitation, and healthcare reimbursement methodologies.
- Monitor project progress, identify risks, and implement mitigation strategies to support successful delivery outcomes.
- Facilitate effective communication and collaboration among stakeholders, clients, and project teams.
- Support system optimization efforts, troubleshoot issues, and recommend enhancements that improve operational efficiency.
- Conduct project reviews and share best practices that drive continuous improvement and innovation.
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
- 5+ years of experience working with Facets DOFR and Capitation modules, including Global, Secondary, and PCP Capitation.
- Extensive experience supporting healthcare payer operations across Commercial, ASO, Medicare, and Medicaid lines of business.
- Strong understanding of provider reimbursement, capitation methodologies, and Delegation of Financial Responsibility (DOFR) models.
- Advanced proficiency in SQL for data analysis, validation, and troubleshooting.
- Experience leading configuration, implementation, or enhancement projects within healthcare payer environments.
- Strong analytical and problem-solving skills with the ability to translate business needs into effective system solutions.
- Excellent verbal and written communication skills with proven experience collaborating across business and technical teams.
- Experience managing multiple priorities in a fast-paced client-facing environment.
These Will Help You Stand Out
- Experience with large-scale healthcare transformation, implementation, or modernization initiatives.
- Expertise in healthcare claims, benefits configuration, provider contracting, and reimbursement operations.
- Knowledge of healthcare regulatory requirements and payer industry best practices.
- Experience mentoring team members and providing guidance on Facets DOFR and Capitation functionality.
- Familiarity with Agile delivery methodologies and enterprise project governance processes.
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 $132,000 - $150,000 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
Os candidatos podem ser obrigados a comparecer a entrevistas presenciais ou por videoconferência. Além disso, os candidatos podem ser obrigados a apresentar seu documento de identificação emitido pelo estado ou governo atual durante cada entrevista.
Embora nosso sistema permita a candidatura em todos os idiomas, o(s) idioma(s) e o(s) nível(is) de proficiência exigidos para o trabalho variam. No entanto, é necessário um nível básico de inglês para fins de comunicação em toda a empresa.
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.
