Associate Director - Facets Enrollment & Billing Consultant (Remote)
Location: Remote
Employment Type: Full-Time
Job ID: 00069618152
Associate Director - Facets Enrollment & Billing Consultant (Remote)
About the Role
As a Senior Facets Enrollment & Billing Consultant, you will make an impact by designing, implementing, and optimizing enrollment and billing solutions that support critical healthcare payer operations. You will be a valued member of our Healthcare Platform Consulting team and work collaboratively with business stakeholders, operations leaders, technology teams, and client partners to deliver innovative, scalable solutions across Commercial, ASO, Medicare, and Medicaid lines of business.
This role is ideal for a healthcare payer expert who thrives on solving complex business challenges, leading configuration initiatives, and helping organizations maximize the value of their Facets platform investments.
In this role, you will:
- Lead enrollment and billing configuration initiatives for TriZetto Facets, ensuring successful implementation and ongoing optimization of solutions.
- Design and configure Group, Class, Plan (GCP), membership, enrollment, billing, and accounting components based on business requirements.
- Partner with business, operations, and technology teams to align project objectives, deliverables, and implementation strategies.
- Analyze and interpret complex billing requirements, including ASO, AFA, TPA, and commercial billing models.
- Monitor project progress, proactively identify risks, and recommend solutions that support successful project outcomes.
- Support system enhancements, testing activities, and production readiness efforts to ensure high-quality deliverables.
- Provide subject matter expertise on Facets enrollment, billing processes, data structures, reporting impacts, and batch processing.
- Promote continuous improvement through process optimization, knowledge sharing, and stakeholder collaboration.
Work Model
We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States.
Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.
The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.
What You Need to Have to Be Considered
- 10+ years of experience supporting Facets Enrollment and Billing solutions within healthcare payer organizations.
- Deep expertise in Facets Membership, Enrollment, Group, Class, Plan (GCP), Billing, and Accounting configuration.
- Strong understanding of TPA business models, ASO/AFA billing constructs, contract periods, stop-loss arrangements, fee schedules, and invoice generation processes.
- Experience working with Commercial, Individual, Medicare, and Medicaid healthcare products.
- Strong knowledge of Facets data structures, billing workflows, reporting impacts, and batch processing.
- Advanced SQL skills with experience supporting analysis, validation, troubleshooting, and solution development.
- Proven experience leading complex healthcare implementation, enhancement, or transformation initiatives.
- Excellent written and verbal communication skills with the ability to effectively engage business and technical stakeholders.
These Will Help You Stand Out
- Experience with quoting, underwriting, and premium billing processes.
- Expertise supporting large-scale healthcare payer modernization or platform transformation initiatives.
- Knowledge of healthcare claims, enrollment, membership, and financial operations.
- Experience mentoring team members and providing leadership across cross-functional project teams.
- Familiarity with Agile delivery methodologies and healthcare industry best practices.
- Strong consulting skills and experience working directly with clients and executive stakeholders.
Salary and Other Compensation:
Applicants will be accepted till 8/14/2026
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 $152,000 - $180,000 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.
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
Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Our strength is built on our ability to work together. Our diverse backgrounds offer different perspectives and new ways of thinking. It encourages lively discussions, creativity, productivity, and helps us build better solutions for our clients. We want someone who thrives in this setting and is inspired to craft meaningful solutions through true collaboration.
If you are content with ambiguity, excited by change, and excel through autonomy, we'd love to hear from you!
Apply Now!
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About Cognizant:
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant.
Additional employment information
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] for roles based in the Americas or [email protected] for roles based in India.
