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Healthcare Product Consultant - Medicare

00068435241

Healthcare Product Consultant – Medicare

Location: Remote
Employment Type: Full-Time

Job ID: 00068435241

Job Title: Healthcare Product Consultant – TriZetto Elements (Government Programs)

About the role

As a Healthcare Product Consultant – TriZetto Elements, you will make an impact by supporting and advising healthcare payer clients on the implementation of Cognizant’s TriZetto Elements product suite within government‑sponsored healthcare programs. This role focuses on enrollment, reconciliation, encounters, and risk adjustment, with a strong emphasis on Medicare programs.

You will be a valued member of the Healthcare Product Consulting team, working closely with clients, project managers, implementation teams, and internal product partners to translate regulatory requirements and business needs into effective product solutions that deliver measurable value.

This is a remote position, open to qualified applicants within the United States. Travel up to 20% may be required based on business needs.

In this role, you will:

  • Serve as a client‑facing product consultant, engaging with healthcare executives and senior stakeholders on government healthcare programs, including enrollment, reconciliation, encounters, and risk adjustment
  • Translate Medicare regulations, CMS guidance, and industry trends into actionable product implementation strategies for the TriZetto Elements suite
  • Advise clients and prospects on TriZetto Elements capabilities, features, and best practices aligned with Cognizant’s Healthcare Product Consulting (HPC) implementation methodology
  • Lead product consulting activities, including identification of client needs, gaps, requirements, and solution options across the Elements product portfolio
  • Support implementation teams by analyzing, validating, specifying, and verifying client requirements throughout the delivery lifecycle
  • Collaborate closely with TriZetto Project Managers and Resource Managers to support multiple concurrent Elements implementations
  • Represent TriZetto Elements product expertise during client kickoffs, workshops, and knowledge transfer sessions
  • Define and document functional and technical requirements, solution diagrams, and product use cases to drive client acceptance
  • Partner with Product Managers and cross‑functional teams to inform product roadmaps, requirements, release schedules, training, and support strategies
  • Review and approve select proposals, estimates, and solution recommendations related to Elements implementations
  • Work closely with leadership to help shape and deliver an industry‑leading product consulting and implementation experience

Work model

We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants in the United States. Regardless of location, we are committed to supporting a healthy work‑life balance through our wellbeing programs.

The working arrangements for this role are accurate as of the date of posting and may change based on project or client needs. We will always be transparent about role expectations.

What you need to have to be considered

  • Minimum 5 years of experience in Medicare enrollment operations within government‑sponsored healthcare programs
  • Prior experience in a product consulting, business analysis, or implementation advisory role
  • Strong knowledge of Medicare programs, including enrollment, reconciliation, encounters, and risk adjustment
  • Proven ability to translate regulatory and business requirements into product and implementation solutions
  • Experience working directly with clients in complex, regulated healthcare environments
  • Bachelor’s degree or equivalent combination of education and relevant work experience

These will help you stand out

  • Preferred certification in Medicare Fundamentals (TZU)
  • Expertise in risk adjustment models, such as CMS‑HCC, HHS‑HCC, CDPS, and related methodologies
  • Secondary knowledge of Medicare Part D, Prescription Drug Events (PDE), and reporting
  • Experience with cloud, SaaS, or service‑oriented architectures in healthcare environments
  • Strong documentation, presentation, and stakeholder communication skills
  • Experience working in large, complex, and highly regulated organizations
  • Project management or delivery leadership experience

Salary and Other Compensation:

Applicants will be accepted till 5/25/2026

Cognizant will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship.

*Please note, this role is not able to offer visa transfer or sponsorship now or in the future*

The annual salary for this position will be in the range of $132K-$155K depending on experience and other qualifications of the successful candidate.

This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.

Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

  • Medical/Dental/Vision/Life Insurance
  • Paid holidays plus Paid Time Off
  • 401(k) plan and contributions
  • Long-term/Short-term Disability
  • Paid Parental Leave
  • Employee Stock Purchase Plan

Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Our strength is built on our ability to work together. Our diverse backgrounds offer different perspectives and new ways of thinking. It encourages lively discussions, creativity, productivity, and helps us build better solutions for our clients. We want someone who thrives in this setting and is inspired to craft meaningful solutions through true collaboration.

If you are content with ambiguity, excited by change, and excel through autonomy, we’d love to hear from you!

Apply Now!

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About us
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, building the bridge between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, realize tangible returns and keep global enterprises ahead in a fast-changing world. See how at www.cognizant.com or @cognizant.

Additional employment information
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.

Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.

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