Job Summary

Serve as a senior product test consultant specializing in Facets claims and benefit configuration for healthcare payer and provider solutions in a hybrid work model. Apply deep hands on experience to validate complex configurations optimize claims processing accuracy and ensure system reliability and compliance. Collaborate closely with cross functional teams to deliver robust high quality Facets implementations that improve member and provider experiences while supporting enterprise scale o

Responsibilities

• Drive comprehensive test strategy planning for Facets modules focused on claims adjudication and benefit configuration to ensure end to end coverage across core healthcare payer and provider use cases.
• Design detailed test scenarios and data sets for Facets claims processing including complex benefit rules and provider contract variations to validate accurate outcomes in high volume production environments.




• Execute functional and integration testing on Facets claims workflows to verify proper configuration of perks accumulators pricing logic and provider networks while minimizing defects reaching production.
• Analyze Facets configuration tables and rule sets to identify potential gaps or conflicts in benefit designs and claims edits and propose corrective changes that improve operational efficiency.
• Collaborate with business analysts configuration teams and operations stakeholders to translate payer and provider business requirements into testable Facets scenarios that reflect real world claim patterns.
• Perform root cause analysis on defects identified in Facets claims and benefit configuration and document findings in clear test artifacts that enable targeted remediation and future prevention.
• Validate interoperability between Facets and downstream systems such as financial reporting data warehouses and provider portals to ensure claims and benefit data integrity across the ecosystem.
• Apply healthcare payer and provider domain e

📌 Product Test Consultant (Chennai)
🏢 Cognizant
📍 Chennai