Remote Facets Product & Benefits Designer

Cognizant; Helena (MT); Remote; USD 113,000 - 130,000; Full time

Job summary

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

The ideal candidate has 6+ years in healthcare payer with 4+ years in Facets configuration, strong benefit design knowledge, and experience across Commercial, Medicare, or Medicaid lines.

Qualifications

• Bachelor's degree in IT, Business, Healthcare Administration, or related field, or equivalent professional experience.
• 6+ years healthcare payer experience, including 4+ years Facets Product and Benefits configuration.
• Strong knowledge of healthcare benefit design elements (copays, deductibles, accumulators, network variations).
• Understanding of how configuration impacts claims adjudication, pricing, eligibility, and member processing.
• Experience documenting requirements, developing solution designs, and supporting end-to-end testing.
• Strong analytical, problem-solving, communication, and stakeholder management skills.
• Experience with Commercial, Medicare, Medicaid, or other healthcare payer lines.

Responsibilities

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

Skills

Facets configuration

Healthcare payer domain

Analytical thinking

Stakeholder management

Communication

Education

Bachelor's degree or equivalent in IT/Business/Healthcare Admin

Tools

SQL

Facets interface

Data analysis tools

Configuration tools

Job description

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

The ideal candidate has 6+ years in healthcare payer with 4+ years in Facets configuration, strong benefit design knowledge, and experience across Commercial, Medicare, or Medicaid lines.