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TriZetto Healthcare Products / Business Process Services

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. 


Core Administration

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

Cognizant Interoperability Solution

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.

Value-based Benefits

Allows plans to design and administer incentive programs to encourage members to do what it takes to care of themselves.

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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