Senior Facets Solutions Lead - Payer Systems

Cognizant; Durham (NC); Hybrid; USD 99,000 - 114,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Paid holidays

PTO

401(k) Plan

Disability Insurance

Parental Leave

ESPP

Job summary

Cognizant is seeking a Healthcare Payer Functional/Technical Lead to drive Facets system integration and modernization initiatives. You will collaborate with clients, business stakeholders, solution architects, and global delivery teams to deliver transformational programs.

The role emphasizes requirements gathering, design of enrollment solutions, data modeling, and governance, with flexibility for remote, hybrid, or onsite work and a strong focus on AI-enabled delivery practices.

Qualifications

• Extensive experience with Facets Membership and Enrollment lifecycle management.
• Strong knowledge of Facets backend data structures and data models.
• Proven expertise in Healthcare Payer Operations across Commercial and ASO.
• Experience leading solution design, functional architecture, and system integration.
• Demonstrated ability to facilitate requirements gathering sessions, discovery workshops, and stakeholder meetings.
• Experience managing onshore and offshore delivery teams in complex consulting or implementation environments.

Responsibilities

• Lead requirements gathering sessions and Joint Application Design (JAD) discussions with client stakeholders.
• Analyze existing payer systems, interfaces, and business processes to identify solution opportunities and transformation strategies.
• Design end-to-end Facets Membership and Enrollment solutions, including functional specifications and integration requirements.
• Provide technical and functional leadership to onshore and offshore delivery teams throughout the project lifecycle.
• Drive project estimation, planning, risk management, and delivery governance activities.
• Collaborate with business and technology stakeholders to resolve complex functional and technical challenges.
• Support healthcare payer platform modernization and migration initiatives from legacy administration systems to Facets.
• Promote AI-enabled software engineering and delivery practices to improve quality, productivity, and project outcomes.

Skills

Facets Membership

Enrollment Lifecycle

Batch Processing

Troubleshooting

Facets Backend Data Structures

Healthcare Payer Operations

Solution Design

System Integration

Requirements Gathering

Onshore/Offshore Delivery

Project Estimation

Stakeholder Communication

Tools

MS SQL

.NET

REST APIs

Power BI

Job description

Cognizant is seeking a Healthcare Payer Functional/Technical Lead to drive Facets system integration and modernization initiatives. You will collaborate with clients, business stakeholders, solution architects, and global delivery teams to deliver transformational programs.

The role emphasizes requirements gathering, design of enrollment solutions, data modeling, and governance, with flexibility for remote, hybrid, or onsite work and a strong focus on AI-enabled delivery practices.