a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; }
About the roleAs a
Consulting Manager, Health Payer you will make an impact by helping health insurance payer clients improve operations, strengthen compliance, and use data-driven insights to support better business and healthcare outcomes. You will be a valued member of the Cognizant Consulting team and work collaboratively with clients, technology teams, and cross-functional stakeholders.
In this role, you will:- Lead end-to-end consulting engagements for payer clients by assessing current business processes, identifying improvement opportunities, and defining clear roadmaps that enhance operational efficiency and member service quality.
- Facilitate requirements discovery with client stakeholders, documenting business and functional needs while ensuring alignment with payer regulations, benefit structures, claims operations, and reimbursement models.
- Provide payer domain expertise across claims processing, utilization management, provider contract administration, benefit plan setup, product definition, and adjudication rules to improve accuracy, automation, and compliance.
- Analyze payer data, including claims, eligibility, authorizations, and provider information, to identify patterns, root causes, risks, and actionable insights that support strategic decision-making.
- Partner with technology teams to translate business requirements into solution designs, validate functional specifications, support testing activities, and help deliver high-quality client solutions.
- Develop process documentation, standard operating procedures, reusable frameworks, and knowledge assets that help client teams sustain improvements and maintain consistent service delivery.
- Support regulatory and compliance initiatives by interpreting payer-related guidelines, assessing operational impacts, and helping clients design controls that strengthen audit readiness.
- Mentor junior consultants by sharing payer domain knowledge, reviewing deliverables, and providing coaching that improves analytical rigor, communication quality, and professional growth.
Work modelWe 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 to 10 years of professional experience in consulting, payer operations, healthcare business analysis, or a related payer domain role.
- Strong understanding of health insurance payer functions, including claims processing, utilization management, member services, medical policy application, and provider network administration.
- Experience analyzing complex payer operations and translating findings into structured recommendations, business requirements, process maps, and client-ready deliverables.
- Familiarity with payer platforms or administration systems, including benefit configuration, product setup, adjudication rules, or related system design and testing activities.
- Strong knowledge of payer regulatory and compliance considerations, including privacy rules, mandated benefits, reporting obligations, and operational risk controls.
- Excellent communication, facilitation, and stakeholder management skills, with the ability to lead workshops, working sessions, and client discussions in a remote delivery model.
These will help you succeed- Experience supporting payer transformation, operational improvement, cost reduction, automation, or process optimization initiatives.
- Ability to interpret large volumes of claims, eligibility, authorization, and provider data to identify trends, anomalies, and opportunities for improvement.
- Strong problem-solving and critical thinking skills, with the ability to break down complex payer challenges and recommend practical solutions.
- Experience developing standard operating procedures, training materials, reusable consulting assets, or industry point-of-view content.
- Ability to mentor junior consultants and contribute to continuous improvement of consulting methods, tools, and best practices.
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.
CompensationThe annual salary for this position is between
$81,450 and $126,750, 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.
BenefitsCognizant offers the following benefits for this position, subject to applicable eligibility requirements:
- Medical, dental, vision and life insurance
- 401(k) plan and 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
