Remote Facets Consulting Manager - Claims & Benefits

Cognizant

Salt Lake City (UT)

Remote

USD 130,000 - 150,000

Full time

14 days+

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Benefits offered by this job

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

Job summary

Cognizant is seeking a Facets Consulting Manager (Claims & Benefits) to help healthcare payers optimize operations through Facets expertise, process transformation, and strategic consulting. This remote US role supports client stakeholders, delivery teams, and partners to design and implement end-to-end solutions across claims, benefits, enrollment, and provider operations.

The role requires 8+ years of Facets experience, strong leadership, and excellent communication to drive performance

Qualifications

8+ years of experience working with TriZetto Facets in healthcare payer environments.
Proven experience leading business analysis, consulting, or solution design initiatives focused on claims and benefits operations.
Deep understanding of healthcare payer business 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 both executive and operational stakeholders.
Strong leadership, consulting, facilitation, and stakeholder management skills.
Experience working within global delivery environments utilizing both onshore and offshore teams.

Responsibilities

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