Skip to main content Skip to footer
  • "com.cts.aem.core.models.NavigationItem@dffbeb8" Careers
  • "com.cts.aem.core.models.NavigationItem@66bdbd7a" News
  • "com.cts.aem.core.models.NavigationItem@1ef5d249" Events
  • "com.cts.aem.core.models.NavigationItem@5cb46392" Investors
Process Improvement Services
Contact

Modern AI-integrated healthcare operations

The playbook for growth is being rewritten. We believe the future belongs to the modern enterprise that embraces AI-integrated business operations—a business that can anticipate and act instantly to boldly seize opportunities amid rapid change.

Innovative partnerships are essential for payers, providers and pharmacy benefits managers to succeed in the competitive healthcare field. We help clients rethink how they create value, innovate and grow by combining business and process expertise in the medical field with intelligent digital platforms to optimize business operations.

SHOWCASE

MetroHealth and Cognizant partnership in healthcare

MetroHealth’s partnership with Cognizant improved productivity by 8% and increased collection by 25%. Using the TriZetto® Advanced Reimbursement Manager (ARM) tool, denial rates dropped 30%, adding $13M in revenue. The collaboration continues to reduce receivables and improve outcomes through automation, innovation and shared expertise.

Business outcomes and strong ROI 

$900M

cost savings over 7 years

Learn more

17,000

hours of increased efficiency 

Learn more

75%

faster investigation response

Learn more

25%

lower plan administration costs

Learn more

600%

faster claims processing

Learn more

Healthcare process improvement services

Speed your adoption of AI and automation using our pre-configured solutions for business processes.

    Learn more

    Gain expertise in utilization management, case management and population health management with access to a global talent pool.

      Learn more

      Simplify and accelerate automation adoption, integrate and orchestrate resources and see faster returns.

        Learn more

        Get support through omnichannel contact services designed to improve customer satisfaction score (CSAT) and Net Promoter® Score.

          Learn more

          Outsource your revenue cycle management (RCM) services using Cognizant’s proprietary RCM workflow technology.

          Service options include:

          • Full-cycle RCM
          • Front-end RCM
          • Middle-office RCM
          • Back-office RCM
          • Complex claims
          • Clinical administration services
          Learn more

          Find out how you can deliver persona-based employee experiences at scale.

            Learn more

            Generate new business value from finance and accounting.

              Learn more

              Get your business future-ready with industry-aligned IT and process automation solutions.

                Learn more

                Increase speed, efficiency and insights to get better marketing ROI.

                  Learn more

                  Deliver the intuitive experiences customers require.

                    Learn more

                    Streamline your daily workflows with Cognizant services.
                    Options include:

                    • Enrollment and member services
                    • Provider data management (PDM)
                    • Claims administration

                    Enable modern pharmacy benefit management (PBM) operations and claims processing using Cognizant services.
                    Options include:

                    • Claims services
                    • Benefits configuration
                    • Front-end mailroom services
                    • Mail order processing

                    Disclaimer: Net Promoter®, NPS®, NPS Prism®, and the NPS-related emoticons are registered trademarks of Bain & Company, Inc., NICE Systems, Inc., and Fred Reichheld. Net Promoter ScoreSM and Net Promoter SystemSM are service marks of Bain & Company, Inc., NICE Systems, Inc., and Fred Reichheld.

                    Resources

                    An introduction to generative AI in healthcare

                    Explore how generative AI and large language models have the potential to transform healthcare.

                    Know more
                    A man in a white coat holds a device while wearing a VR headset showcasing a virtual reality experience
                    Critical components of an intelligent automation strategy

                    Learn how to maximize efficiency as you digitize processes to streamline your operations—it doesn’t have to be that complicated.

                    Know more
                    A long hallway illuminated by various colored lights, creating a vibrant and dynamic atmosphere.
                    Combating infectious disease in the future

                    Advanced technologies and behavioral changes can help us mitigate the impact of a global health crisis. Here’s how.

                    Know more
                    Stock photo depicting the coronavirus outbreak in China, highlighting the impact on public health and safety measures
                    How intelligent automation tackles the US opioid crisis

                    Explore how combating the opioid crisis through intelligent automation connects payers, government, pharmacy and members, as well as the promising outcomes from the program.

                    Know more
                    Two men standing in a pharmacy, examining a product on the shelf together

                    VALUE

                    Improved experiences, future-ready processes, innovation

                    VALUE

                    Improved experiences, future-ready processes, innovation

                    Cognizant transforms healthcare with automation, AI and advanced analytics. Our global workforce of experts drives innovation, productivity, cost efficiencies and revenue growth, helping companies become modern enterprises powered by cutting-edge technology and expertise.

                    Two doctors examining a tablet computer together, discussing patient information or medical data

                    VALUE

                    Rising above uncertainty

                    VALUE

                    Rising above uncertainty

                    Strategically reducing costs and investing in new revenue streams is crucial in volatile times. Modern operations enable businesses to act with insight and speed, predict trends, identify growth areas and balance efficiency with innovation to accelerate growth and scale.

                    Two doctors reviewing information on a tablet while standing in a hospital hallway

                    Analyst accolades

                    Cognizant named a Leader in Everest Group’s Utilization Management Operations PEAK Matrix® Assessment 2025

                    Cognizant has been recognized as a Leader in Everest Group’s Utilization Management Operations PEAK Matrix® Assessment 2025.

                    Read more
                    Everest Group’s Utilization Management Operations PEAK Matrix® Assessment 2025
                    Cognizant secures top spot in Everest Group Healthcare BPaaS PEAK Matrix® 2024

                    Everest Group has named Cognizant the highest ranking service provider in its inaugural Healthcare Business Process Services (BPaaS) Solutions PEAK Matrix® Assessment.

                    Read more
                    PEAK Matrix Badges
                    Cognizant named a Leader in MedTech Operations PEAK Matrix® Assessment 2023 by Everest Group

                    Cognizant earned the highest designated Leader position among all participating providers, and the highest marks in the categories of market adoption, innovation and investments.

                    Read the report
                    MedTech Operations 2023 - PEAK Matrix Award Logo
                    A leader in clinical and care management (CCM) operations

                    Cognizant’s diverse in-house medical talent pool, robust suite of services, flexible BPaaS for care coordination and focus on quality improvement services helped catapult us into the leaders category in the Everest Group’s Clinical and Care Management Operations Services PEAK® Matrix 2023.

                    Read the report
                    PEAK Matrix Badge for clinical and care management operations 2023
                    Cognizant named a Leader in Everest Group’s Revenue Cycle Management (RCM) PEAK Matrix

                    Cognizant was singled out as one of few providers able to deliver the full RCM suite as a result of our deep technical prowess, broad healthcare expertise, robust partner ecosystem and clearinghouse capabilities.

                    Read the report
                    PEAK Matrix Badge for revenue cycle management 2023

                    Take the first step

                    Serving customers by looking forward as well as back is a big promise, but the power of today’s new digital healthcare solutions is vast and growing. Our expertise in healthcare IT services enables us to integrate cutting-edge technology seamlessly into your operations.

                    Let’s talk about how digital healthcare solutions can work for your business.