Facets Design Specialist (Remote - USA)

About the role

As a Facets Design Specialist, you will make an impact by serving as a trusted advisor, solution architect, and subject matter expert for Facets core applications and configuration. You will help healthcare payer clients optimize Facets functionality, improve claims auto-adjudication performance, support new business implementations, and drive strategic configuration transformation initiatives. You will be a valued member of the Healthcare Consulting team, collaborating closely with client business leaders, technical teams, architects, product specialists, and offshore delivery teams to deliver scalable, high-quality Facets solutions.

Responsibilities

• Serve as the lead Facets Subject Matter Expert (SME), providing guidance on application design, configuration strategy, and optimization opportunities.
• Lead requirements discovery, solution design, and configuration workshops to translate business needs into effective Facets solutions.
• Assess current-state Facets environments and develop future-state configuration roadmaps that improve efficiency, scalability, and claims auto-adjudication rates.
• Provide architecture recommendations, gap analyses, implementation strategies, and integration approaches to support business and technology objectives.
• Lead proofs of concept, solution demonstrations, and design discussions while ensuring alignment with client requirements and industry best practices.

Qualifications

• 10+ years of experience working with TriZetto Facets implementation, configuration, optimization, or consulting engagements.
• Deep expertise in Facets core modules, including Benefits, Providers, Enrollment, and Claims.
• Experience leading requirements gathering, solution design, configuration strategy, and application architecture discussions.
• Strong understanding of healthcare payer operations, business processes, and Facets configuration best practices.
• Experience conducting configuration assessments and developing action