Senior Product Specialist - Facets Premium Billing

Cognizant; Philadelphia (Philadelphia County); À distance; USD 82 000 - 90 000; Plein temps

Avantages offerts par ce poste

Medical/Dental/Vision/Life Insurance

Paid holidays & PTO

401(k) plan

Disability benefits

Parental Leave

Employee Stock Purchase Plan

Résumé du poste

Cognizant is seeking a Senior Product Specialist to design, configure, and optimize Facets capabilities across Finance, Billing, Claims, Provider, Plan Product, Membership, Group, and Premium Billing for healthcare payers. This remote role collaborates with stakeholders to implement scalable Facets configurations that improve operational efficiency and data integrity.

You will lead requirements gathering, testing, and documentation, and work with cross-functional teams to deliver impactful

Qualifications

• 6–10 years of experience with Facets Finance, Billing and Premium Billing in healthcare payers.
• Experience with Facets Claims, Provider, Membership, Group, and Plan Product modules.
• Deep knowledge of healthcare payer premium billing processes and data models.
• Proven ability to translate requirements into configuration designs and test scenarios.
• Strong analytical, troubleshooting and problem-solving skills.
• Excellent written and verbal communication across business and tech teams.

Responsabilités

• Lead configuration and optimization of Facets Finance and Premium Billing to ensure accurate calculations and reconciliation.
• Manage end-to-end Facets claims workflows for accurate adjudication and timely processing.
• Configure and maintain Facets Provider data, contract alignment, and reimbursement rules.
• Administer Plan Product configurations including benefits, rating, accumulators, and coverage rules.
• Support Membership and Group configurations for eligibility and enrollment accuracy.
• Analyze premium billing processes and Facets data models to identify defects and improvement opportunities.
• Coordinate requirements gathering and translate into scalable Facets configurations and solutions.
• Develop and maintain configuration docs, process flows, and business rules.
• Perform regression validation and testing across multiple Facets modules to ensure stability.
• Provide training and knowledge transfer to business users and operations teams.
• Drive data-driven improvements to financial performance and member experience.

Connaissances

Facets Finance

Facets Billing

Facets Premium Billing

Facets Claims

Facets Provider data

Plan Product

Membership & Group

Premium Billing

Requirements gathering

Testing/UAT

Communication skills

Analytical skills

Outils

Facets

Description du poste

About the role

As a Senior Product Specialist, you will make an impact by designing, configuring, and optimizing Facets capabilities across Finance, Billing, Claims, Provider, Plan Product, Membership, Group, and Premium Billing domains. You will leverage your healthcare payer expertise to deliver scalable solutions that improve operational efficiency, strengthen data integrity, and support accurate premium billing and health plan administration.

You will be a valued member of the Healthcare Payer team and work closely with business stakeholders, operations teams, product owners, and technology partners to implement and support Facets solutions that enhance outcomes for members and providers.

Work Model: Remote

In this role, you will:

• Lead the configuration and optimization of Facets Finance and Premium Billing modules to support accurate premium calculations, payment processing, and financial reconciliation.
• Manage end-to-end Facets claims workflows to ensure accurate adjudication, benefit application, and timely resolution of processing exceptions.
• Configure and maintain Facets Provider data, ensuring accurate network information, contract alignment, and reimbursement rule integration.
• Administer Plan Product configurations, including benefit structures, rating methodologies, accumulators, and coverage rules that support compliant health plan operations.
• Support Membership and Group configuration activities to ensure eligibility accuracy, enrollment integrity, and seamless premium billing outcomes.
• Analyze premium billing processes and Facets data models to identify defects, process gaps, and opportunities for operational improvement.
• Partner with business stakeholders to gather requirements and translate them into scalable Facets configurations and functional solutions.
• Conduct impact assessments, regression validation, and testing activities to ensure stability across Facets Finance, Billing, Claims, Provider, Membership, Group, and Product modules.
• Develop and maintain detailed configuration documentation, process flows, business rules, and implementation artifacts.
• Investigate and resolve production issues through root cause analysis and recommend sustainable corrective actions.
• Coordinate functional testing, user acceptance testing (UAT), and validation activities for premium billing and related enhancements.
• Provide training, knowledge transfer, and ongoing support to business users and operational teams.
• Drive continuous improvement initiatives by recommending data-driven enhancements that improve financial performance and member experience.

What you need to have to be considered

• 6 to 10 years of experience working with Facets Finance, Billing, and Premium Billing functions within healthcare payer organizations.
• Strong hands-on expertise with Facets Claims, Provider, Membership, Group, and Plan Product modules.
• Deep knowledge of healthcare payer premium billing processes, including rating structures, invoicing, adjustments, payment applications, and reconciliation activities.
• Strong understanding of the Facets data model and how core modules interact across integrated payer workflows.
• Experience gathering business requirements and translating them into configuration designs, business rules, and testing scenarios.
• Proven ability to analyze complex datasets, identify defects, validate configurations, and support operational reporting.
• Experience creating and executing test plans, test cases, and user acceptance testing activities.
• Strong analytical, troubleshooting, and problem-solving skills.
• Excellent verbal and written communication skills with the ability to collaborate across business and technical teams.

These will help you stand out

• Experience supporting Commercial, Medicare, or Medicaid health plans.
• Prior experience leading Facets implementation, optimization, or modernization initiatives.
• Knowledge of healthcare revenue cycle management and payer financial operations.
• Experience performing root cause analysis and production support for large-scale healthcare systems.
• Familiarity with Agile delivery methodologies and healthcare technology transformation projects.
• Facets certification or certifications related to healthcare payer platforms.
• Training or experience in healthcare payer operations, premium billing administration, or revenue cycle management.

Certifications

Preferred

• Facets Certification
• AHIP or healthcare payer-related certifications
• Revenue Cycle Management or Health Insurance Systems certifications

Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

• 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

Why Cognizant?

At Cognizant, we're engineering modern businesses to improve everyday life. Our associates enjoy a collaborative environment, opportunities for continuous learning, and the ability to work on meaningful projects that drive innovation and business value for our healthcare clients.

We're excited to meet professionals who are passionate about healthcare technology, payer operations, and delivering impactful Facets solutions. Even if you don't meet every qualification listed, we encourage you to apply and showcase the unique experiences and skills you can bring to the role

Work Model

This is a fully remote position. Associates will work remotely while collaborating closely with business stakeholders, operations teams, and cross-functional technology partners to deliver high-quality Facets solutions and support healthcare payer operations.

Applicants will be accepted till 10/30/2026

Cognizant will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship.

*Please note, this role is not able to offer visa transfer or sponsorship now or in the future*

The annual salary for this position will be in the range of $82K - $90K depending on experience and other qualifications of the successful candidate

This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.