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Business Operations
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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.

Business outcomes and strong ROI 

$900M

cost savings over 7 years

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17,000

hours of increased efficiency 

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75%

faster investigation response

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25%

lower plan administration costs

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600%

faster claims processing

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AI-powered operations built for what's next

Intuitive experiences, game-changing efficiency and banking BPO innovation

We help clients modernize operations through next-generation business operations and automation. Combining technology, data and innovation, we drive greater productivity, new growth opportunities and intuitive experiences for customers and employees.

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Rising above uncertainty

Modern operations help organizations reduce costs, unlock growth and respond to change with greater speed and insight. By balancing efficiency and innovation, businesses can scale faster and stay ahead in uncertain markets.

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Our services

Clinical support services

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

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Customer experience management

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

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Digital revenue cycle management services

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
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Payer services

Streamline your daily workflows with Cognizant services.

Options include:

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

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
Intelligent automation services

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

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Cognizant Neuro® Business Processes

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

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Finance and accounting

Generate new business value from finance and accounting.

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Omnichannel customer care

Deliver the intuitive experiences customers require.

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Marketing operations

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

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Employee experience enterprise services

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

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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.

Insights

Agentic AI enabled RCM processes

Turn revenue cycle challenges into opportunities. Explore how agentic AI empowers teams to reduce denials and improve productivity for healthcare providers.

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Navigating the labyrinth

Explore how health plans can reduce the rising cost and complexity of provider operations by leveraging Cognizant Provider Digital Interaction, a comprehensive enterprise solution engineered to orchestrate provider operations, ensuring data accuracy and integrity.

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Revolutionizing claims adjudication using Agentic AI

Explore how we are leveraging Agentic AI to address one of healthcare's most pressing challenges.

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An introduction to generative AI in healthcare

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

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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.

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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.

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Modern Business Operations

Explore our modern business operations

AI business accelerators

Speed your adoption of AI and Automation using our pre-configured solutions for business processes/operations

AI Model Training Data Services

Identify the right AI opportunities, prepare high-quality data, and train, validate, build and deploy models with human oversight

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.