Senior Facets Product & Benefits Analyst (Remote)

Cognizant

Augusta (ME)

Remote

USD 93,000 - 109,000

Full time

9 days ago
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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 Product & Benefits Senior Analyst (Remote - US) to design, configure, and optimize healthcare product configurations within the Facets platform. You will work with business stakeholders and cross-functional teams to deliver accurate, scalable benefit solutions supporting claims adjudication.

The role emphasizes requirements gathering, design reviews, testing, and post-production stabilization, with a strong focus on benefit design and regulatory requirements.

Qualifications

  • Bachelor's degree in IT, Business, Healthcare Administration, or related field, or equivalent professional experience.
  • 6+ years of healthcare payer experience, incl. at least 4 years in Facets Product & Benefits configuration/implementation.
  • Strong knowledge of healthcare benefit design (copays, coinsurance, deductibles, out-of-pocket maximums, accumulators, tiers, exclusions, limits, network variations).
  • Experience designing and configuring healthcare products and benefits within the Facets platform.
  • Understanding of how benefit configuration affects claims adjudication, pricing, provider networks, eligibility, and membership processing.
  • Experience supporting requirements analysis, solution design, configuration validation, testing, and defect resolution.
  • Strong analytical, troubleshooting, communication, and stakeholder management skills.
  • Experience supporting Commercial, Medicare, Medicaid, or other payer lines of business.

Responsibilities

  • Analyze business, operational, and regulatory requirements and translate into Facets configuration solutions.
  • Design and configure healthcare products, benefit plans, accumulators, tiers, cost-sharing structures, exclusions, and network-based rules.
  • Facilitate requirements gathering, design sessions, and reviews, identifying gaps, dependencies, risks and implementation considerations.
  • Validate benefit configurations through unit, system, integration, regression, and UAT testing to ensure accurate claims outcomes.
  • Collaborate with cross-functional teams to assess impacts across membership, provider networks, pricing, claims processing, and eligibility.
  • Troubleshoot configuration issues, perform root cause analysis, and recommend corrective actions to reduce defects.
  • Support implementation, release readiness, production validation, benefit renewals, launches, and post-production stabilization.

Skills

Healthcare payer domain
Requirements analysis
Solution design
Configuration validation
Testing & defect resolution
Stakeholder management

Education

Bachelor's degree or equivalent
Fields: IT, Business, Healthcare Administration

Tools

SQL
Data analysis
Config tools
Facets batch

Job description

Cognizant is seeking a Facets Product & Benefits Senior Analyst (Remote - US) to design, configure, and optimize healthcare product configurations within the Facets platform. You will work with business stakeholders and cross-functional teams to deliver accurate, scalable benefit solutions supporting claims adjudication.

The role emphasizes requirements gathering, design reviews, testing, and post-production stabilization, with a strong focus on benefit design and regulatory requirements.

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