Note: The job is a remote job and is open to candidates in USA. Cognizant is a leading company in healthcare technology, and they are seeking a Senior Facets Claims Integration Engineer to implement and support integration logic for healthcare claims processing. The role involves working with the Facets platform and HIPAA Gateway to ensure accurate transaction flow and successful claims outcomes.
Responsibilities
- Develop, implement, and support inbound 837 and outbound 835 transaction processing using the Facets HIPAA Gateway
- Build and maintain data transformations and validations aligned with Facets data models and claims processing workflows
- Work with the Facets external claims database and related interfaces to support data validation, analysis, and troubleshooting
- Configure and support execution of batch jobs related to claims processing activities
- Troubleshoot end‑to‑end claims processing issues, including rejects, errors, and reconciliation gaps
- Collaborate closely with EDI and Facets teams to ensure proper transaction flow and data integrity across systems
- Support parity validation activities between source claims data and adjudicated outputs
- Operate effectively with minimal ramp‑up in an accelerated POC delivery environment
Skills
- Hands‑on experience with Facets, including data models, claims processing, and integration points
- Strong experience with Facets HIPAA Gateway, supporting 837 and 835 transactions
- Experience working with the Facets external claims database and related data structures
- Strong SQL and data analysis skills
- Proven experience troubleshooting claims processing issues in a Facets environment
- Solid understanding of X12 transactions, specifically 837 and 835
- Experience supporting healthcare system integrations or Proofs of Concept (POCs)
- Prior collaboration with EDI teams in payer environments
- Strong analytical and problem‑solving skills with attention to transaction and data integrity
- Ability to work independently and deliver results in fast‑moving delivery timelines
Benefits
- Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.
- 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
Company Overview
Cognizant is a professional services company that helps clients alter their business, operating, and technology models for the digital era. It was founded in 1994, and is headquartered in Teaneck, New Jersey, USA, with a workforce of 10001+ employees. Its website is https://www.cognizant.com.