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Delivering Business Efficiency

SERVICES THAT OFFER VALUEABLE BUSINESS OUTCOMES

Make healthcare transformation meaningful with services that improve member experiences, drive innovative and automate efficient processes.    

OPTIMIZING HEALTH PLAN PROCESSES TO ENHANCE BUSINESS


For the healthcare industry, the digital economy demands that organizations run better. The challenges include the ability to innovate, provide effective member-friendly services, streamline and automate processes, contain costs and increase membership.  

Technology can go a long way to help businesses achieve these goals. But taking it the rest of the way requires deep expertise in both healthcare and technology, along with mature services that deliver on their promises. Our integrated, end-to-end BPS solutions help your organization:

  • Improve processes, increase efficiency and reduce costs
  • Innovate and compete more effectively
  • Grow and retain membership, boost profitability and drive revenue growth

We draw on deep experience to help organizations achieve these healthcare goals.

  • To address your comprehensive business and administrative functions, we optimize the right blend of onshore and offshore resources.
  • We help you attract new members and better serve existing ones by leveraging multiple channels, such as social and mobile technologies.
  • To improve application scalability and reduce costs, we transition organizations to cloud technologies.

We incorporate analytics to provide meaningful insight that improves member engagement, reduces risk and optimizes utilization.    

PRODUCTS

Core Administration

Increases payer efficiency, improve productivity, reduce costs and position your business for growth.

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Care Management

Connects care managers to members and providers while reducing costs, personalizing interventions and improving care quality.

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Health Tranzform™

Enables shared decision making, communication and collaboration as a multi-channel, modularized solution.

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Provider Reimbursement Management

Automates pricing scenarios to provide the best value to payers, providers and patients.

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Trading Partner Management

Manages EDI trading partners with one cost-effective, cloud-enabled technology service.

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Portal Technology

Automates transaction processing and information exchange between payer organizations and their external constituents.

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Optimization Tools

Automate and simplify operational tasks associated with our core healthcare technology solutions, Facets and QNXT.

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TriZetto® Elements™

Extend the functionality of your core system by providing critical capabilities from enrollment through risk adjustment, to efficiently administer government solutions.

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RELATED SERVICES

Business Consulting

Unparalleled healthcare business consulting expertise.

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Next-Gen Technologies

Leverage the power of next-generation technologies to build a stronger, agile business.

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Infrastructure Services

Services to manage your infrastructure so you can manage your business.

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IT Professional Services

Unrivaled resources and healthcare expertise to meet your IT business needs.

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Services/Benefits Administration

Software, technology, expertise and proven methodologies to help you manage your business more effectively.

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HEALTHCARE VISION BLOG

The Healthcare Vision Blog is a thought leadership forum that highlights our expertise and perspectives on healthcare strategy, government programs, operational excellence, population health management, digital transformation and other topics healthcare organizations are facing in a changing healthcare industry.

We invite you to read the blog, engage in the conversation around the topic and subscribe to be a member. When you subscribe, you will receive automatic notifications when there is a new blog post.

We look forward to your participation.  

VISIT OUR BLOG

CONTACT US

At Cognizant, we are here to provide you with more information about our TriZetto Healthcare Products software and service solutions and answer any questions you may have.

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Thank you for your interest in Cognizant.

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