Senior Facets Claims Integration Engineer - Healthcare

Cognizant is a leading company in the healthcare sector, and they are seeking a Senior Facets Claims Integration Engineer. This role focuses on implementing and supporting integration logic for healthcare claims processing, ensuring accurate transaction flow and data integrity.

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

Requirements:

• 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