Facets Product and Benefits Consultant (Remote - US)

Cognizant; Pleasanton (CA); Remote; USD 113,000 - 130,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid holidays plus PTO

401(k) plan and contributions

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Job summary

Cognizant is seeking a Facets Product and Benefits Consultant to design, configure, and implement healthcare products and benefit plans within the Facets platform. This remote US role collaborates with stakeholders across claims, pricing, networks, and operations to deliver compliant, scalable benefit solutions.

The role requires deep expertise in benefit design, plus hands-on Facets configuration experience and strong analytical, communication, and collaboration skills.

Qualifications

• Bachelor's degree in IT, Business, Healthcare Administration, or related field, or equivalent professional experience.
• 6+ years of healthcare payer experience, including at least 4 years of hands-on Facets Product and Benefits configuration experience.
• Strong expertise in healthcare benefit design, including copays, coinsurance, deductibles, out-of-pocket maximums, accumulators, limits, exclusions, and network variations.
• Deep understanding of how product and benefit configuration impacts claims adjudication, pricing, provider networks, eligibility, and membership processing.
• Experience documenting requirements, developing solution designs, performing configuration analysis, and supporting end-to-end testing activities.
• Strong analytical, problem-solving, communication, and stakeholder management skills.
• Experience supporting Commercial, Medicare, Medicaid, or other healthcare payer lines of business.

Responsibilities

• Analyze business, operational, and regulatory requirements and translate them into effective Facets Product and Benefits configurations.
• Design healthcare products, benefit structures, accumulators, cost-sharing models, coverage tiers, and network-based benefit rules.
• Configure, validate, and maintain Facets Product and Benefits components while ensuring solution quality, scalability, and alignment with business requirements.
• Partner with cross-functional teams to assess impacts across claims, pricing, provider networks, eligibility, and downstream systems.
• Develop test scenarios and validate claims outcomes for deductibles, copays, coinsurance, out-of-pocket maximums, accumulators, and network variations.
• Troubleshoot configuration issues, perform root cause analysis, and implement sustainable resolutions.
• Support production implementations, product launches, benefit updates, releases, and post-production stabilization activities.

Skills

Analytical skills

Problem-solving

Communication

Stakeholder management

Healthcare payer experience

Education

Bachelor's degree in IT/Business/Healthcare

Tools

SQL

Data analysis tools

Facets interface

Job description

Facets Product and Benefits Consultant (Remote - US)

Location: Remote
Employment Type: Full-Time

Job ID: 00070476093

About the role

As a Facets Product and Benefits Consultant, you will make an impact by designing, configuring, and implementing healthcare products and benefit plans within the Facets platform. You will be a valued member of the healthcare payer team, collaborating with business stakeholders, operations, claims, product, network, quality assurance, and technology teams to deliver scalable, compliant, and accurate benefit solutions that support effective claims adjudication and member experiences.

In this role, you will:

• Analyze business, operational, and regulatory requirements and translate them into effective Facets Product and Benefits configurations.
• Design healthcare products, benefit structures, accumulators, cost-sharing models, coverage tiers, and network-based benefit rules.
• Configure, validate, and maintain Facets Product and Benefits components while ensuring solution quality, scalability, and alignment with business requirements.
• Partner with cross-functional teams to assess impacts across claims, pricing, provider networks, eligibility, and downstream systems.
• Develop test scenarios and validate claims outcomes for deductibles, copays, coinsurance, out-of-pocket maximums, accumulators, and network variations.
• Troubleshoot configuration issues, perform root cause analysis, and implement sustainable resolutions.
• Support production implementations, product launches, benefit updates, releases, and post-production stabilization 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 anywhere 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

• Bachelor's degree in Information Technology, Business, Healthcare Administration, or a related field, or equivalent professional experience.
• 6+ years of healthcare payer experience, including at least 4 years of hands-on Facets Product and Benefits configuration experience.
• Strong expertise in healthcare benefit design, including copays, coinsurance, deductibles, out-of-pocket maximums, accumulators, limits, exclusions, and network variations.
• Deep understanding of how product and benefit configuration impacts claims adjudication, pricing, provider networks, eligibility, and membership processing.
• Experience documenting requirements, developing solution designs, performing configuration analysis, and supporting end-to-end testing activities.
• Strong analytical, problem-solving, communication, and stakeholder management skills.
• Experience supporting Commercial, Medicare, Medicaid, or other healthcare payer lines of business.

These will help you stand out

• Experience supporting Facets implementations, benefit renewals, platform modernization initiatives, or large-scale configuration remediation projects.
• Knowledge of Commercial, Medicare Advantage, Medicaid, Exchange, and ASO healthcare products.
• Experience with SQL, data analysis, configuration comparison tools, or Facets interface and batch processing.
• Familiarity with healthcare regulatory requirements, compliance standards, and audit controls.
• Experience working within Agile delivery environments and cross-functional implementation teams.

Salary and Other Compensation:

Applicants will be accepted till 10/25/2026

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 $113,000 - $130,000 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:

• 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!