Remote Facets Consulting Manager - Claims & Benefits

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

Long‑term/Short‑term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Job summary

Cognizant is seeking a Facets Consulting Manager to help healthcare payers optimize claims and benefits operations through deep Facets expertise, business process transformation, and strategic consulting.

You will partner with client stakeholders, operational leaders, business analysts, architects, and delivery teams to design and implement solutions that improve operational performance, claims outcomes, and member experiences.

Qualifications

• 8+ years of experience with TriZetto Facets in healthcare payer environments.
• Proven experience leading business analysis, consulting, or solution design initiatives.
• Deep understanding of healthcare payer processes including claims adjudication, benefits administration, enrollment, provider operations, and member services.
• Strong knowledge of Facets core functionality, configuration concepts, and data structures.
• Experience conducting requirements gathering, stakeholder workshops, process assessments, and solution design sessions.
• Demonstrated expertise in claims root cause analysis, operational problem solving, and process optimization.
• Ability to communicate complex business and technical concepts to executive and operational stakeholders.
• Strong leadership, consulting, facilitation, and stakeholder management skills.
• Experience working within global delivery environments with onshore and offshore teams.

Responsibilities

• Lead requirements discovery workshops and consultative sessions to define business outcomes, KPIs, and operational improvements across claims and benefits functions.
• Serve as a trusted advisor on Facets claims and benefits capabilities, guiding clients on best practices and configuration approaches.
• Analyze business requirements and translate them into scalable solutions that improve efficiency, quality, and performance.
• Provide advanced problem solving, root cause analysis, and recommendations for complex claims processing and benefits configuration.
• Partner with business and technical teams to develop and implement end-to-end solutions across claims, benefits, enrollment, provider, and member services.
• Facilitate knowledge transfer and mentor client teams on Facets functionality and industry best practices.
• Collaborate effectively with onshore and offshore teams to deliver high-quality consulting services and client outcomes.

Skills

Facets expertise

Healthcare payer domain knowledge

Leadership

Stakeholder management

Business analysis

Tools

TriZetto Facets

Job description

Cognizant is seeking a Facets Consulting Manager to help healthcare payers optimize claims and benefits operations through deep Facets expertise, business process transformation, and strategic consulting.

You will partner with client stakeholders, operational leaders, business analysts, architects, and delivery teams to design and implement solutions that improve operational performance, claims outcomes, and member experiences.