Sr. NetworX/Facets Configuration Consultant

Senior NetworX/Facets Configuration Consultant Location: Remote Employment Type: Full-Time Job ID: 00067368221 About the role: As a Senior NetworX/Facets Configuration Consultant, you will make an impact by configuring, optimizing, and supporting Facets and Optum NetworX (Pricer and Modeler) to enable accurate, efficient claims adjudication for a fastu2011growing health plan. You will be a valued member of our Healthcare Technology & Operations team, partnering with IT, claims, provider services, business operations, and solution architects to translate complex reimbursement policies and regulatory guidance into highu2011quality system configurations, robust testing, and smooth production outcomes. In this role, you will: + Lead and manage NetworX pricing agreement implementation and configuration; assess and utilize provider data to support health plan operations. + Serve as a subject matter expert on Facets, NetworX (Pricer/Modeler), and reimbursement best practices; troubleshoot complex issues and drive rootu2011cause resolutions. + Interpret contracts, regulations, provider bulletins, and reimbursement policies; translate CMS/agency guidance and industry feedback into actionable configuration updates. + Collaborate with crossu2011functional teams (IT, claims, provider services, business operations) to implement and enhance system configurations and integrations. + Develop, document, and maintain configuration standards, policies, and procedures; lead/participate in design and configuration reviews. + Analyze and validate configurations to ensure accurate claim adjudication and provider reimbursement; identify automation and enhancement opportunities. + Plan and execute system testing, upgrades, and implementations to minimize disruption; provide clear communication on status, risks, and mitigation. + Deliver training and knowledge transfer to internal teams; operate within Agile/Scrum ways of working. Work model: We strive to provide flexibility wherever possible. Based on this roleu2019s business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we support a healthy worku2011life balance through our wellbeing programs. The working arrangements for this role are accurate as of the date of posting and may change based on business or client needs; we will always communicate expectations clearly. What you need to have to be considered: + 10+ years of handsu2011on experience across Facets, NetworX Pricer, Optum Grouper/Pricer, claims processing, and U.S. healthcare. + 5+ years leading projects in an onsiteu2013offshore model; proven success delivering implementations, enhancements, and maintenance at scale. + Expertise in new lineu2011ofu2011business (LOB) implementations and endu2011tou2011end system configuration. + Strong knowledge of managed care concepts, provider contracts, fee schedules, and benefit configuration. + Proficiency writing and optimizing SQL queries for data validation, analysis, and reporting. + Demonstrated ability to analyze, design, and build Facets Provider configuration; working knowledge of Optum PPS configuration. + Ability to interpret payeru2013provider contract terms, produce technical designs, and implement them via configuration. + Deep understanding of health plan operations for Medicare, Medicaid, Marketplace, LTSS, and DSNP (duals). + Configuration experience on Facets v25.R1 or higher on an SQL platform. + Excellent written and verbal communication skills; strong rootu2011cause analysis and issueu2011resolution abilities. These will help you stand out: + Experience delivering large configuration programs and complex production cutovers. + Handsu2011on use of project/portfolio tools and query/reporting tools (e.g., Cognos), with working knowledge of Windows, Excel, PowerPoint, Word. + Familiarity with Power Automate, Copilot, and ChatGPT to streamline analysis, documentation, or reporting workflows. + Ability to thrive in a fastu2011paced, changing environment, working both independently and collaboratively. Salary and Other Compensation: Applicants will be accepted till 2/23/2026 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 $132K-$150K depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizantu2019s discretionary annual incentive program, based on performance and subject to the terms of Cognizantu2019s 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, weu2019d love to hear from you Apply Now #LI-IK1Cognizant 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.

Created: 2026-02-12