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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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.
