About Cognizant Consulting
Cognizant Consulting is more than Cognizant’s consulting practice. We’re a global community of 5,000+ experts dedicated to helping clients reimagine their business. Blending our deep industry and technology advisory capability, we create innovative business solutions for Fortune 500 clients. And now, we’re looking for our next colleague who’ll join us in shaping the future of business. Could it be you?
About the Role
As a Consulting Manager, Healthcare Enterprise Business Analyst, you will make an impact by leading business analysis and transformation initiatives across healthcare payer enrollment, billing, producer management, and finance operations. You will serve as a trusted advisor between business and technology teams, translating complex operational requirements into scalable solutions that improve efficiency, compliance, business performance, and member experiences.
You will be a valued member of the Healthcare Consulting team and work collaboratively with business stakeholders, operations leaders, product owners, technology teams, finance partners, and clients to deliver enterprise-wide transformation initiatives.
In This Role, You Will:
- Lead requirements gathering, business process analysis, process modeling, and solution design activities across enrollment, billing, producer management, commissions, and finance functions.
- Partner with business stakeholders to optimize enrollment processes, producer commission calculations, book of business management, and operational workflows while ensuring alignment with strategic business objectives.
- Analyze upstream and downstream business impacts across enrollment, billing, call center operations, claims processing, utilization management (UM), utilization review (UR), and related payer functions.
- Develop business cases, process flows, functional requirements, user stories, testing strategies, and implementation recommendations to support enterprise transformation initiatives.
- Collaborate with technology, operations, finance, and business teams to support system modernization, regulatory compliance initiatives, and operational excellence programs.
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 your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.
The working arrangements for this role are accurate as of the date of posting. This may change based on the project you’re engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.
What You Must Have to Be Considered
- 8+ years of experience as a Business Analyst, Enterprise Business Analyst, Product Analyst, or Consultant supporting healthcare payer organizations.
- Deep expertise in healthcare payer enrollment, billing, producer/broker operations, commissions, book of business management, and financial processes.
- Strong experience eliciting and documenting business requirements, facilitating workshops, creating process flows, and supporting testing and implementation activities.
- Experience working on enterprise transformation, modernization, regulatory, or operational improvement initiatives within healthcare payer environments.
- Exceptional stakeholder management, analytical, communication, facilitation, and problem-solving skills with the ability to influence business and technology teams.
These Will Help You Succeed
- Experience supporting healthcare payer organizations in the Washington and Alaska Individual Market.
- Strong understanding of claims adjudication, contact center operations, utilization management (UM), and utilization review (UR) processes and their interactions with enrollment and billing functions.
- Experience working on large-scale enterprise transformation, platform modernization, or digital healthcare initiatives.
- Knowledge of healthcare regulations, compliance requirements, and operational processes affecting enrollment, billing, and financial systems.
- Experience partnering with cross-functional teams across business operations, technology delivery, finance, and healthcare administration.
We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.
Compensation
$110,000 - $129,500 annually
This position is eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.
Benefits
- Medical, dental, vision, and life insurance
- 401(k) plan and company contributions
- Employee stock purchase plan
- Employee assistance program
- 10 paid holidays plus PTO
- Paid parental leave and fertility assistance
- Learning and development certifications and programs
关于高知特 (Cognizant)
高知特(Cognizant)（纳斯达克代码：CTSH）作为一家AI Builder和相关技术服务提供商，致力于通过打造全栈AI解决方案，帮助企业将人工智能投资转化为实际价值。公司凭借深厚的行业经验、流程优化和工程技术专长，将企业独特的业务场景融入科技系统，赋能组织释放人才潜能，推动切实成果，并帮助全球企业在瞬息万变的环境中保持领先。如需了解更多详情，敬请访问 cognizant.ai 或关注@cognizant。
补充雇佣信息
薪酬信息截至本职位发布之日为准。Cognizant 保留在适用法律允许的范围内随时修改该信息的权利。
申请人可能需要通过现场面试或视频会议的方式参加面试。此外，候选人在每次面试时可能需要出示其当前所在州或政府签发的有效身份证件。
Cognizant 是一家提供平等就业机会的雇主。在招聘过程中，您的申请和候选资格不会因种族、肤色、性别、宗教、信仰、性取向、性别认同、国籍、残疾、遗传信息、怀孕、退伍军人身份或任何其他受联邦、州或地方法律保护的特征而受到影响。
