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TriZetto Healthcare Products / Business Consulting

Navigating healthcare with digital

Rising costs, consumer demand and changing regulations and guidelines are just a few of the market forces driving changes in the way healthcare organizations manage, optimize and transform their businesses.
Our Healthcare Business Consulting services use proven methods and strategies to help healthcare organizations transform and compete in this ever-changing environment. Whether it is strategy and planning, program development and implementation or business optimization, healthcare organizations have long relied on Cognizant’s Healthcare Business Consulting.
We will help you get ahead of the challenges in these areas:
  • Consumerism: Our services include a private exchange strategy, patient engagement assessment, private exchange readiness assessment and a consumerism maturity assessment.
  • Business transformation: Among our services are business readiness and optimization, business process improvement, administrative cost reduction, application portfolio strategy and rationalization.
  • Regulatory compliance/government programs: We will help ensure that you meet all applicable regulations and standards, from IDC-10 and PPACA-HCR to Medicare Advantage and MITA 3.0. We can also help improve your STAR rating and GRC and compliance program effectiveness.
  • Integrated health management: We have got you covered, offering everything from an IHM assessment and scale-up VBC care management program to care redesign, discharge planning, vendor selection implementation, wellness assessments and ACOs.
  • Revenue cycle management: Improving the bottom line is critical. We will help you achieve your top line revenue goals with revenue cycle assessment and strategy, contract lifecycle management, supply chain management, and healthcare RCM-focused analytics.


Core Administration

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

Cognizant Interoperability Solutions

Offers end-to-end solution that pairs modular SaaS products with industry-leading strategic consulting to connect disparate systems, standardize data and enable secure, authenticated access in real-time.

Provider Reimbursement Solutions

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

Quality Management

Enables payer/provider collaboration to reduce costs and drive overall quality improvement.

TriZetto® EngageMember®

Members may interact anytime, anywhere and receive a detailed view of their coverage information with compelling metrics, timely notifications and relevant healthcare content.

Business Process-as-a-Service

This integrated software and services healthcare BPaaS solution includes process optimization, digitization and large-scale efficiencies.

TriZetto® EngageProvider®

Enables physicians and other care providers to access detailed information on their patients, efficiently log claims and make templates for common claims, as well as easily create referrals and authorizations.

Trading Partner Management

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

Care Management

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

Optimization Software Products

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

TriZetto Elements®

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

Portal Technology

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

Related services

Business process services

Services that offer meaningful business outcomes.

Business consulting

Benefit from our unparalleled healthcare business consulting expertise.

Next-gen technologies

Put next-generation technologies in place that build a stronger, more agile business and lay the groundwork for future AI and automation initiatives.

Infrastructure services

Get services that ease the strain of managing your infrastructure so you can focus on managing your business.

IT professional services

Take advantage of our unrivaled resources and healthcare expertise to meet your IT business needs.

Services/Benefits administration

Apply our proven software, technology, expertise and tested methodologies to manage your business more effectively.

Business process-as-a-service

Our integrated software and services healthcare BPaaS solution includes process optimization, digitization and large-scale efficiencies.

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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