CONSULTING & SOLUTIONS

• CONSULTING

  CONSULTING

  From strategy and planning to implementation and optimization, we help you adopt new business models, seize new market opportunities and enable technology innovation.

  • Consumerism
  • Integrated Health Management
  • Health Intelligence & Analytics
  • Operational Improvement
  • Regulatory Compliance
  • Investigative Services
  • Digital Transformation

    

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• BUSINESS PROCESS SERVICES

  BUSINESS PROCESS SERVICES

  Our industry‑specific business process expertise can help you redirect and refocus valuable resources, giving you the financial flexibility required to focus on core competencies and innovate for the future.

  • Configuration
  • Front-end Processing
  • Claims Administration
  • Enrollment
  • Billing
  • Customer Service
  • Intelligent Process Automation
  • Global Clinical Services
  • Credentialing

    

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• TRIZETTO HEALTHCARE PRODUCTS

  LEVERAGING DIGITAL PLATFORMS TO RUN BETTER

  From providing a strong foundation to your core administration to meeting the complex compliance requirements of the evolving healthcare consumer, Cognizant’s TriZetto Healthcare Products are flexible, scalable and configurable to meet the challenges of the ever-changing healthcare landscape.

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  Core Administration

  Keep pace with the changing demands of the healthcare industry with a core administration system that ensures accuracy, expands your business opportunities and leverages the potential of the digital economy.

  Care Management

  Transform care management into an automated, data-driven activity that delivers more targeted health information and wellness campaigns while enhancing interactions with members and providers.

  Provider Reimbursement Solutions

  Gain speed, efficiency and cost savings while reducing manual errors and supporting compliance with regulatory standards.

  Quality Management

  Enable payers and providers collaboration to reduce costs, target gaps and drive overall quality improvement.

  Trading Partner Management

  Consolidate the number of trading partners you manage from many to just one, reducing administrative costs and streamlining operations along the way.

  Portal Technology

  Automate information exchange between payer organizations and their external constituents and deliver more accurate, real-time data on plan status, treatment costs and network coverage.

  Optimization Tools

  Simplify operational tasks with our core healthcare technology solutions, including managing configurations, keeping security data synchronized and speeding the auto-enrollment process.

  TriZetto Elements

  Extend the functionality of your core system with the features you need to efficiently administer Medicare Advantage, Medicaid and Commercial Exchanges.

  Cognizant Interoperability Solutions

  Enable secure, on-demand data access to support compliance and forward-thinking business plans like real-time utilization management, automated care management and improved patient outcomes.

• INFRASTRUCTURE SERVICES

  INFRASTRUCTURE SERVICES

  We offer the consulting, managed services, resources and capabilities you need to assess, design, build and manage a flexible IT environment.

  • Availability Services
  • Productivity Services
  • Connectivity Services
  • Business Cloud Solutions
  • Data Management Services
  • Integrated Value Management
  • Application Management

    

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• IT APPLICATION SERVICES

  IT APPLICATION SERVICES

  Increasing agility and speed to generate value could mean migrating systems, upgrading existing applications, and hardware or deploying new platforms or other critical services. We offer a comprehensive portfolio of IT and systems integration services.

  • Systems Integration
  • Configuration
  • Program Management
  • Migration
  • Requirements
  • Portals
  • Testing

    

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• DIGITAL BUSINESS TECHNOLOGY

  DIGITAL BUSINESS TECHNOLOGY

  Services and solutions that enable organizations to identify insights, reshape business models and build the infrastructure required to engage consumers and drive better outcomes.

  • Digital Strategy
  • Digital Experience
  • Artificial Intelligence
  • Internet of Things
  • Intelligent Process Automation

    

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