Job description

Cognizant is always looking for top talent. We are searching for candidates to fill future needs within the business. This job posting represents potential future employment opportunities with Cognizant. Although the position is not currently available, we want to provide you with the opportunity to express your interest in future employment opportunities with Cognizant. If a job opportunity that you may be qualified for becomes available in the future, we will notify you. At that time you can determine whether you would like to apply for the specific open position. Thank you for your interest in Cognizant career opportunities. About the Role As a PEGA LSA Developer, you will make an impact by designing, developing, and configuring PEGA applications that power healthcare claims processing, adjudication, and workflow automation. You will be a valued member of the Healthcare Claims Technology team and work collaboratively with business analysts, architects, and QA teams to deliver high-quality, Facets-integrated applications that support the end-to-end claims lifecycle. In This Role, You Will • Design, develop, and configure PEGA applications for healthcare claims processing, adjudication, and workflow automation integrated with Facets. • Build and customize PEGA case types, flows, decision rules, and UI rules to automate claims exception handling and manual review processes. • Work across Facets modules (Claims, Membership, Billing, Provider) to support end-to-end claims lifecycle management, including intake, adjudication, and payment processing. • Integrate PEGA with Facets and other core administration systems using REST/SOAP APIs, connectors, and data pages. • Analyze and translate healthcare claims business requirements (HIPAA, EDI 837/835, X12 transactions) into PEGA application design, in close partnership with business analysts, architects, and QA teams. What You Need to Have to Be Considered • Hands-on experience developing and configuring PEGA applications, including case types, flows, decision rules, and UI rules. • Experience with Facets modules (Claims, Membership, Billing, Provider) supporting healthcare claims processing. • Working knowledge of EDI 835 and 837 transactions and X12 standards within a HIPAA-compliant environment. • Experience integrating PEGA with core administration systems via REST/SOAP APIs, connectors, and data pages. • Proven ability to analyze and translate complex healthcare claims business requirements into technical application design. These Will Help You Stand Out • PEGA Certified Senior System Architect (CSSA) or equivalent certification. • Prior experience in the healthcare payer/insurance industry. • Familiarity with Agile/Scrum delivery methodologies. • Strong collaboration and communication skills across cross-functional teams. • Experience with additional core administration or claims systems beyond Facets. Work Model: Remote from the United States 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. We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role. Please note, this role is not able to offer visa transfer or sponsorship now or in the future. Salary and Other Compensation This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans. Benefits Cognizant offers the following benefits for this position, subject to applicable eligibility requirements: • Medical/Dental/Vision/Life Insurance • Paid holidays plus Paid Time Off • 401(k) plan and contributions • Long-term/Short-term Disability • Employee Stock Purchase Plan Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law. About Cognizant: Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant. Additional employment information Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law. Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview. Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws. If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email CareersNA2@cognizant.com for roles based in the Americas or CareersIndia2@cognizant.com for roles based in India.

Requirements

Must-haves

In This Role, You Will
Design, develop, and configure PEGA applications for healthcare claims processing, adjudication, and workflow automation integrated with Facets.
Build and customize PEGA case types, flows, decision rules, and UI rules to automate claims exception handling and manual review processes.
Work across Facets modules (Claims, Membership, Billing, Provider) to support end-to-end claims lifecycle management, including intake, adjudication, and payment processing.
Integrate PEGA with Facets and other core administration systems using REST/SOAP APIs, connectors, and data pages.
Analyze and translate healthcare claims business requirements (HIPAA, EDI 837/835, X12 transactions) into PEGA application design, in close partnership with business analysts, architects, and QA teams.
What You Need to Have to Be Considered
Hands-on experience developing and configuring PEGA applications, including case types, flows, decision rules, and UI rules.
Experience with Facets modules (Claims, Membership, Billing, Provider) supporting healthcare claims processing.
Working knowledge of EDI 835 and 837 transactions and X12 standards within a HIPAA-compliant environment.
Experience integrating PEGA with core administration systems via REST/SOAP APIs, connectors, and data pages.
Proven ability to analyze and translate complex healthcare claims business requirements into technical application design.
These Will Help You Stand Out
PEGA Certified Senior System Architect (CSSA) or equivalent certification.
Prior experience in the healthcare payer/insurance industry.
Familiarity with Agile/Scrum delivery methodologies.
Strong collaboration and communication skills across cross-functional teams.
Experience with additional core administration or claims systems beyond Facets.
Work Model: Remote from the United States
Please note, this role is not able to offer visa transfer or sponsorship now or in the future.
Salary and Other Compensation

Nice-to-haves

None flagged.

Application prep

Use the role’s language and application details while tailoring your materials.

Keywords to mirror

restagilescrumai

Platform: cognizant
Effort: medium

Benefits

Benefits detected in the listing.

Dental

Vision

401(K)

Paid Time Off