**About Us:** Cognizant (Nasdaq: CTSH) is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. **Job Title** **: Provider/Benefit Configuration Analyst** **Location** **:** **Remote** **Job ID** **: SO# 00064116431** **Role and Responsibilities:** · Implement code editing in the Facets environments. · Test inpatient claims with the Optum grouper to ensure accuracy and compliance. · Analyze Explanation of Coverage (EOCs), benefit summaries, and Summary of Benefits and Coverage (SBCs) to validate associated configuration in Facets. · Maintain a thorough understanding of standard claim payment rules for Commercial, Medicare, Medicaid, and ACA Qualified Health Plans lines of business. · Configure benefits and pricing within the Facets system. · Utilize working knowledge of Facets benefits back-end table structure to support configuration tasks. · Recommend and assist in the development and configuration of new providers and contracts. · Provide support to internal product teams answering questions related to industry standard codes, providers, and benefits. · Supply requirements and potential training on the claim adjudication process to internal teams. · Assist with the provider and benefit file specifications for external 3rd Party Vendors. **Required Experience** : · Proven experience with Facets benefit, provider and pricing configuration · Knowledge of the claim adjudication process and related systems · Strong healthcare industry knowledge · Excellent communication skills to provide support to internal teams · Strong analytical and problem-solving skills · Ability to work collaboratively with various departments and teams · Previous experience in a similar role within the healthcare industry **Salary and Other Compensation:** Applicants will be accepted till 6/19/2025 The annual salary for this position will be in the range of $99K-$105K 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! Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.