Remote Facets Product & Benefits Consultant (US)

Cognizant

Augusta (ME)

Remote

USD 113,000 - 130,000

Full time

7 days ago
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Benefits offered by this job

Health benefits
Paid holidays
401(k) plan
Employee Stock Purchase Plan

Job summary

Cognizant is seeking a Facets Product and Benefits Consultant to design, configure, and implement healthcare products within the Facets platform. This remote US role collaborates with payer teams to deliver compliant benefit solutions supporting claims adjudication and member experiences.

The ideal candidate has 6+ years in healthcare payer work, with at least 4 years on Facets configuration, strong benefit design skills, and experience across Commercial/Medicare/Medicaid.

Qualifications

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

Responsibilities

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

Skills

Facets configuration
Healthcare payer
Requirements analysis
Stakeholder management
SQL
Testing scenarios

Education

Bachelor's degree or equivalent

Tools

Facets platform
Data analysis tools

Job description

Cognizant is seeking a Facets Product and Benefits Consultant to design, configure, and implement healthcare products within the Facets platform. This remote US role collaborates with payer teams to deliver compliant benefit solutions supporting claims adjudication and member experiences.

The ideal candidate has 6+ years in healthcare payer work, with at least 4 years on Facets configuration, strong benefit design skills, and experience across Commercial/Medicare/Medicaid.

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