Remote Facets Benefits Configuration Expert

Cognizant

Madison (WI)

Remote

USD 113,000 - 130,000

Full time

14 days+

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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 & Benefits Consultant to design, configure, test, and implement healthcare benefit configurations within the Facets platform. This remote US role collaborates with analysts, QA, and operations to deliver scalable benefit solutions.

Responsibilities include configuring benefit components, testing scenarios for deductibles, copays, and network benefits, and supporting product launches while ensuring compliance and quality across the organization.

Qualifications

6+ years of healthcare payer experience, including at least 4 years of hands-on Facets Product & Benefits configuration experience.
Strong expertise in Facets Product & Benefits configuration, implementation, and troubleshooting.
Deep understanding of healthcare benefit design, including copays, coinsurance, deductibles, out-of-pocket maximums, accumulators, limits, exclusions, and network variations.
Experience analyzing business requirements and translating them into scalable configuration solutions.
Knowledge of the relationship between benefit configuration, claims adjudication, pricing, eligibility, provider networks, and accumulators.
Experience supporting end-to-end testing, defect resolution, implementation activities, and production validation.
Bachelor's degree in Information Technology, Business, Healthcare Administration, or a related field, or equivalent professional experience.

Responsibilities

Analyze benefit requirements, product documentation, regulatory mandates, and business needs to design effective Facets product and benefit configurations.
Configure, validate, and maintain Facets Product & Benefits components that support accurate benefit administration and claims adjudication.
Assess impacts across membership, provider networks, pricing, accumulators, claims processing, and downstream integrations.
Develop configuration documentation, mapping artifacts, decision logs, and implementation support materials.
Create and execute testing scenarios to validate benefit logic, including deductibles, copays, coinsurance, out-of-pocket maximums, limits, and network-based benefits.
Troubleshoot configuration defects, identify root causes, and implement sustainable solutions.
Partner with cross-functional teams to support product launches, benefit changes, releases, and production implementations.