As a Problem Manager, you will make an impact by improving the efficiency and accuracy of claims processing, benefits management, and utilization within our healthcare payer systems. By proactively identifying and addressing multifaceted issues, you will ensure that operational challenges are resolved swiftly, minimizing disruptions and optimizing system performance. Your contributions will help build a more reliable and scalable healthcare environment, ensuring both operational success and improved member experience. You will be a valued member of our Healthcare Services Practice and work collaboratively with our Principal Product Consultant.

In this role, you will

• Own the identification and resolution of recurring issues to improve platform performance and reliability.
• Lead all aspects of the analysis of problem trends and root causes to prevent future incidents.
• Provide expertise in Facets Utilization Management to ensure efficient use of resources.
• Manage Facets Claims processes to ensure accurate and timely claims' processing.
• Apply knowledge of Facets Capitation to manage provider payments and contracts.
• Configure Facets Benefit plans to meet client requirements and regulatory standards.
• Coordinate with cross-functional teams to implement solutions and improve processes.
• Build and maintain documentation for problem management processes and procedures.
• Monitor system performance and provide recommendations for improvements while ensuring industry standards are achieved.
• Communicate effectively with collaborators to provide updates on problem resolution.
• Coordinate trainings and provide mentorship to junior team members on problem management techniques.
• Contribute to the continuous improvement of problem management practices.

What you’ll need to succeed (required skills)

• A proven track record of 9 or more years in Facets Utilization Coordination, Claims Capitation and Benefit Configuration.
• Top-tier experience in the Payer domain.
• Strong communication and teamwork abilities.
• Proficiency in documenting workflows and standard operating procedures

What will help you stand out (preferred skills)

• Outstanding problem solving and analytical skills.
• ITIL Foundation Certification Facets Configuration Certification is an added bonus

At Cognizant, we're eager to meet people who believe in our mission and can make an impact in various ways. We strongly encourage you to apply even if you only meet the required skills listed. Consider what transferrable experience and skills make you a unique applicant and help us see how you'd be beneficial to this role.

Cognizant will only consider applicants for this position who are legally authorized to work in Canada without requiring employer sponsorship, now or at any time in the future.

Working arrangements

We believe hybrid work is the way forward as we strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a hybrid position requiring 2 days a week in a client or Cognizant office in Halifax, NS. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs.

Note: The working arrangements for this role are accurate as of the date of posting. This may change based on the project you’re engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.

Post closing date

Applications will be accepted until March 13, 2025