Remote Facets Product Consultant - Payer Solutions

Cognizant; Chicago (IL); Remote; USD 99,000 - 114,000; Full time

Benefits offered by this job

Health Insurance

Paid Holidays

PTO

401(k)

Disability

Parental Leave

ESPP

Job summary

Cognizant is seeking a Senior Product Consultant - Facets to partner with healthcare payer clients across claims, membership, provider, and plan product domains. You will translate complex business requirements into scalable Facets configurations and lead end-to-end engagements in a remote setting.

You bring 8+ years in healthcare payer consulting, deep Facets knowledge, and strong stakeholder communication.

Qualifications

• 8+ years of experience in product consulting or related roles within the healthcare payer industry.
• Advanced knowledge of the Facets data model, including table relationships, data structures, and system configuration principles.
• Strong hands-on experience with Facets Claims, including adjudication workflows, benefit determination, pricing, and claims processing.
• Deep expertise in Facets Membership, including eligibility management, enrollment structures, subscriber and dependent relationships, and coverage administration.
• Experience configuring and supporting Facets Provider functionality, including provider data management, contract structures, participation status, and reimbursement arrangements.
• Strong knowledge of Facets Group administration, including group hierarchies, account structures, and billing-related configurations.
• Expertise in Facets Plan Product configuration, including benefit structures, accumulators, coverage rules, and regulatory compliance requirements.
• Strong understanding of healthcare payer operations, health plan administration, and industry regulations.
• Experience gathering requirements, conducting impact assessments, and translating business needs into functional and technical solution designs.
• Proven ability to perform data analysis, troubleshoot system issues, and develop evidence-based recommendations.
• Strong communication, presentation, and documentation skills with experience engaging both business and technical stakeholders.

Responsibilities

• Lead end-to-end consulting engagements for payer clients, translating requirements into optimized Facets solutions.
• Conduct requirement discovery workshops with business stakeholders to capture needs related to claims, provider networks, membership, eligibility, benefits, and group administration.
• Design and recommend scalable Facets configurations that improve claims adjudication accuracy, member eligibility management, and operational efficiency.
• Perform impact assessments for Facets enhancements and changes across claims, membership, provider, group, and plan product modules to protect system integrity and downstream processes.
• Configure and validate plan product setups, including benefit designs, accumulators, coverage rules, and related business configurations.
• Analyze and resolve complex Facets workflow and data issues by leveraging a deep understanding of the Facets data model and business processes.
• Collaborate with technology and integration teams to define provider, membership, and claims data requirements that support enterprise business objectives.
• Develop testing strategies and oversee functional, integration, and regression testing to ensure successful solution delivery.
• Create process documentation, solution artifacts, and best-practice guidance to support operational excellence and knowledge sharing.
• Provide ongoing consulting support and product expertise to business users, helping drive continuous improvement and effective use of the Facets platform.
• Analyze operational metrics and system performance data to identify opportunities for process optimization, cost containment, and enhanced member experiences.
• Foster collaboration across distributed teams and client organizations while maintaining strong stakeholder engagement in a hybrid work environment.

Skills

Facets knowledge

Payer industry experience

Requirements gathering

Stakeholder communication

Data analysis

Tools

Facets Claims

Facets Membership

Facets Provider

Facets Group

Facets Plan Product

Job description

Cognizant is seeking a Senior Product Consultant - Facets to partner with healthcare payer clients across claims, membership, provider, and plan product domains. You will translate complex business requirements into scalable Facets configurations and lead end-to-end engagements in a remote setting.

You bring 8+ years in healthcare payer consulting, deep Facets knowledge, and strong stakeholder communication.