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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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.
