Facets Product Consultant, Hilmar, California, United States

About the role
As a Facets Product Consultant, you will make an impact by leveraging your expertise in Facets core administration capabilities to design, optimize, and enhance payer operational processes across claims, provider, membership, group, and plan product functions. You will be a valued member of the Healthcare Consulting team and work collaboratively with payer business stakeholders, product owners, business analysts, architects, and technical delivery teams to deliver scalable and compliant healthcare solutions. [Global Job...oilerplate | Word]
In this role, you will:

Partner with payer business stakeholders to analyze operational processes and translate complex business requirements into effective Facets-based solutions.
Design and document end-to-end solutions leveraging the Facets data model to support accurate and compliant information flow across claims, provider, membership, group, and product domains.
Configure and optimize Facets claims capabilities, including benefit determination, pricing, adjudication rules, and payment processing to improve operational efficiency and accuracy.
Develop and enhance provider, plan product, membership, and group configurations to support scalable administration, regulatory compliance, and improved member experiences.
Conduct impact assessments, gap analyses, testing support, and solution validation to ensure successful implementation of Facets enhancements and continuous process improvement.

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. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs. [Global Job...oilerplate | Word]
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. [Global Job...oilerplate | Word]
What you need to have to be considered

Extensive hands-on experience with the Facets Data Model, including entities, relationships, and data flows across claims, provider, membership, group, and plan product modules.
Strong expertise in Facets Claims Configuration and Operations, including benefit determination, pricing, adjudication, and payment processing within payer environments.
Deep knowledge of Facets Provider Management, including network setup, provider contracting, reimbursement models, and provider data management.
Advanced experience with Facets Plan Product Configuration, including benefit structures, accumulators, eligibility rules, and product setup.
Strong understanding of Facets Membership and Group Administration, including enrollment processes, eligibility management, coverage rules, and group hierarchies.
Demonstrated experience working within the healthcare payer domain, including claims administration, benefits management, provider contracting, and member services.
Experience gathering business requirements, developing functional specifications, conducting impact assessments, and supporting testing activities.
Strong analytical, stakeholder management, and problem-solving skills.

These will help you stand out

Experience leading Facets transformation, optimization, or modernization initiatives for large healthcare payer organizations.
Knowledge of healthcare regulatory and compliance requirements impacting claims, eligibility, provider, and benefit administration.
Experience integrating Facets data with reporting, analytics, or business intelligence solutions.
Ability to facilitate workshops, user training sessions, and knowledge transfer activities that drive adoption of new processes and capabilities.
Experience identifying automation opportunities and improving operational workflows through effective use of Facets functionality.

Applicants will be accepted till 09/30/2026

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 $99K - $115K 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

We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role

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.

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.