Business Process Services

  • partners

  • Outsourced services that offer meaningful, business-outcome results

    Cognizant’s Healthcare Business Process Services (BPS) combined with TriZetto’s industry-leading core administrative platforms enable you to optimize business processes in a way that was not previously possible. Our teams understand the healthcare payer industry, the processes, and the software that enable you to compete. We align our Healthcare BPS solutions with your organization’s long term goals and offer meaningful, business-outcome based results. Our proactive approach to business process management enables you to move beyond the traditional outsourcing model to one that will drive profitability and revenue growth.

    Unlock the value of existing software solutions and reduce the need for complex operating environments through:

    • Collaboration among BPS teams, Facets and QNXT development teams, you and other stakeholders;
    • Process improvement to optimize business processes through continuous, systematic improvements;
    • One partner to help reduce system and process complexity.

    Drive results through industry-leading delivery and engagement models that align our Healthcare BPS solutions with your organization’s long term goals and offer meaningful, business-outcome based results. Our proactive approach to business process management drives profitability and revenue growth with:

    • Contracting as a service engagement model with strategic risk-sharing arrangements;
    • Flexibility in delivering the right level of sourcing (near-shore, offshore, blended shore or robotic resources), short- and long-term engagements, and solutions tailored to your specific business processes and strategic goals;
    • Strategic support and meaningful, insightful business metrics.

    Compete in your market at a lower cost, so you can focus on innovating and winning while we take care of business processes for you. We do this through:

    • Automation with our Robotic Process Automation and Intelligent Process Automation tools;
    • Global sourcing lets you gain financial flexibility and freedom to focus on strategic capabilities;
    • Long-term strategic partnership and collaboration.

    Grow and retain membership through increased consumer engagement, enhancing the experience for your members with industry-leading capabilities such as:

    • Multi-channel engagement to leverage social, mobile, analytics and cloud technologies in attracting new members and better serving existing ones;
    • Global Clinical Services to lead the development and delivery of innovative care programs;
    • Analytics to provide meaningful insight to improve member engagement, reduce risk, and optimize utilization.

    The Industry’s Most Comprehensive Healthcare Business Process Services

    We leverage our combined industry experience and technological know-how to provide a wide array of healthcare business processes, freeing your organization to focus on creating value and innovative services through your true core competencies. Our Business Process Services offerings, for all lines of business, include:

    • Enrollment Services
    • Premium Billing Services
    • Customer Service
    • Front-end and Mailroom Services
    • Financial Management Services
    • Provider Network Management Services
    • Claims Administration
    • Medical Management Services
    • Configuration Services
    • Government Program-specific Services

    In addition to our comprehensive suite of services, TriZetto Business Process Services is flexible enough to serve any client’s specific line of business needs. We have the flexibility to delivery business processes in the form that works best for your organization now and as your objectives change.

    We are committed to your long term success as your accountable partner. Let our transformative Healthcare Business Process Services solutions help your organization significantly reduce costs, increase consumer engagement, and innovate for the future.