Lead Facets Product Consultant

Cognizant; Denver (CO); On-site; USD 130,000 - 150,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid holidays plus PTO

401(k) plan and contributions

Disability insurance

Paid Parental Leave

Employee Stock Purchase Plan

Job summary

Cognizant is seeking a Lead Facets Product Consultant to provide deep Facets platform expertise and lead solution design for healthcare clients. You will optimize configuration architecture to improve claims processing, increase auto-adjudication, and enable new business lines.

The role entails collaborating with business stakeholders, architects, and client leadership to deliver innovative Facets solutions, supported by a flexible remote work model across the United States.

Qualifications

• 8+ years of experience with TriZetto Facets in healthcare payer environments.
• Proven experience as Facets SME, Product Consultant, Functional Lead, or Design Specialist.
• Strong expertise across Benefits, Provider, Enrollment, Claims, and ITS functionality.
• Deep understanding of Facets configuration architecture, claims adjudication processing, and Facets data structures.
• Experience leading requirements gathering, solution design workshops, and configuration strategy discussions with business stakeholders.
• Strong experience performing claims root cause analysis and resolving complex configuration and processing issues.
• Demonstrated ability to translate business requirements into Facets configuration solutions.
• Excellent verbal and written communication with stakeholders at multiple levels.

Responsibilities

• Serve as the Facets SME and trusted advisor for core Facets applications and sub-modules, guiding configuration design and optimization.
• Lead requirements discovery workshops and design sessions to translate business needs into scalable Facets solutions.
• Evaluate current Facets environments and develop roadmaps to optimize future-state architecture with best practices and measurable improvements.
• Provide advanced analysis, troubleshooting, root cause identification, and recommendations for complex claims processing issues.
• Partner with business and technical teams to implement solutions across Benefits, Provider, Enrollment, Claims, and ITS functions while transferring knowledge to client staff.
• Support Facets ITS initiatives, mandates, and application enhancements across enterprise healthcare environments.
• Collaborate within onshore and offshore delivery models to ensure project success and client satisfaction.

Skills

Facets expertise

SME / Design lead

Requirements gathering

Configuration strategy

Root cause analysis

Verbal & written communication

Cross-functional collaboration

Tools

TriZetto Facets

Job description

Lead Facets Product Consultant

Location: USA - Remote

Employment Type: Full-Time

Job ID:

About the role

As a Facets Product Consultant / Facets Design Specialist, you will make an impact by providing deep Facets platform expertise, leading solution design initiatives, and helping healthcare clients optimize their Facets configuration architecture to improve claims processing efficiency, increase auto-adjudication rates, and support new lines of business.

You will be a valued member of the healthcare consulting team, collaborating with business stakeholders, technical teams, architects, and client leadership to deliver innovative Facets solutions that drive operational excellence and measurable business outcomes.

In this role, you will:

• Serve as the Facets Subject Matter Expert (SME) and trusted advisor for core Facets applications and sub-modules, providing strategic guidance on configuration design and optimization.

• Lead requirements discovery workshops and design sessions to translate business needs into scalable Facets solutions and configuration strategies.

• Evaluate current Facets environments and develop roadmaps to an optimized future-state architecture, including recommendations for best practices, underutilized functionality, and measurable performance improvements.

• Provide advanced analysis, troubleshooting, root cause identification, and solution recommendations for complex claims processing and configuration challenges.

• Partner with business and technical teams to implement solutions across Benefits, Provider, Enrollment, Claims, and ITS functions while facilitating knowledge transfer to client staff.

• Support Facets ITS initiatives, mandates, and application enhancements across enterprise healthcare environments.

• Collaborate effectively within onshore and offshore delivery models to ensure successful project execution and client satisfaction.

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 throughout the United States.

Regardless of your working arrangement, we are committed to supporting a healthy work-life balance through our wellbeing programs and flexible work environment.

What you need to have to be considered

• 8+ years of experience working with TriZetto Facets in healthcare payer environments.

• Proven experience serving as a Facets SME, Product Consultant, Functional Lead, or Design Specialist.

• Strong expertise across Benefits, Provider, Enrollment, Claims, and ITS functionality.

• Deep understanding of Facets configuration architecture, claims adjudication processing, and Facets data structures.

• Experience leading requirements gathering, solution design workshops, and configuration strategy discussions with business stakeholders.

• Strong experience performing claims root cause analysis and resolving complex configuration and processing issues.

• Demonstrated ability to analyze business requirements and translate them into effective Facets configuration solutions.

• Exceptional verbal and written communication skills with the ability to present recommendations and influence stakeholders at multiple levels.

• Experience working successfully within onshore and offshore delivery models.

These will help you stand out

• Experience optimizing Facets environments to improve auto-adjudication rates and operational efficiency.

• Expertise with benefits cost share configuration, PCA, and claims processing optimization.

• Experience leveraging Workflow to address Utilization Management (UM), Coordination of Benefits (COB), Provider, and Member Match scenarios.

• Healthcare consulting experience supporting large-scale payer transformation programs.

• Experience developing implementation of roadmaps, configuration governance frameworks, and operational metrics.

• Knowledge of additional TriZetto platforms and healthcare payer technologies.

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 $130,000 - $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

• 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.

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Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.