Facets Product Consultant Manager - Remote
About the Role
As a Facets Products Consultant Manager, you will make an impact by serving as a senior consulting lead and Subject Matter Expert (SME) for Facets core applications and sub-modules. You will provide strategic guidance, solution design leadership, and configuration expertise to help healthcare payer clients optimize Facets functionality, improve claims auto-adjudication rates, implement new lines of business, and maximize platform value. You will be a valued member of the Healthcare Consulting team, working closely with client stakeholders, business leaders, technical architects, product specialists, and delivery teams to develop scalable, high-performing Facets solutions aligned with business objectives.
In this role, you will:
- Serve as the primary Facets SME and trusted advisor, providing expertise on Facets configuration architecture, system capabilities, and best practices.
- Lead requirements discovery workshops, design sessions, and solution reviews to translate business and operational needs into effective Facets configurations.
- Assess current-state Facets environments and develop future-state optimization roadmaps, including recommendations for underutilized modules, configuration improvements, and measurable performance outcomes.
- Design and recommend scalable solutions that improve claims processing efficiency, auto-adjudication performance, and operational effectiveness.
- Partner with business and technical teams to analyze requirements, troubleshoot complex issues, and deliver innovative solutions aligned with client goals.
- Develop and communicate project plans, implementation strategies, and configuration approaches for new business implementations, product enhancements, and optimization initiatives.
- Provide consulting leadership throughout project lifecycles, including solution architecture, gap analysis, risk identification, and stakeholder communication.
- Mentor client teams and transfer product knowledge to ensure long-term operational success and adoption.
- Collaborate effectively across onshore and offshore delivery teams to drive successful project outcomes.
- Support Facets ITS-related initiatives, enhancements, production support, and strategic transformation programs.
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.
Requirements
- 10+ years of experience working with TriZetto Facets in consulting, implementation, configuration, or solution architecture roles.
- Deep expertise in Facets core modules including Benefits, Provider, Enrollment, and Claims.
- Strong experience conducting requirements gathering, business process analysis, solution design, and application configuration.
- Advanced knowledge of Facets ITS functionality, claims adjudication processing, and related data structures.
- Experience developing and implementing configuration strategies that improve operational efficiency and claims auto-adjudication performance.
- Proven ability to evaluate current-state environments and develop future-state architecture and optimization recommendations.
- Experience leading medium to large-scale healthcare payer implementations, enhancements, or transformation initiatives.
- Strong analytical and problem-solving skills with the ability to interpret complex application configurations and business requirements.
- Excellent verbal and written communication skills, including the ability to communicate technical concepts to both business and technical audiences.
- Experience collaborating successfully within global onshore/offshore delivery models.