Cognizant

Consulting Manager, Product Owner - Healthcare Payer

Cognizant$110K — $130K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of relevant experience in healthcare claims, provider, and pricing services
  • Proficiency in requirements development and business design specifications
  • Experience with testing, validation, and documenting software solutions
  • Ability to perform quantitative analysis and develop metrics for quality improvements
  • Familiarity with QTest, JIRA, mainframe, and PEGA systems
  • Preferred Safe Agile certifications or Product Owner experience

Responsibilities

  • Participate in developing requirements and modifying business design specifications
  • Test, document solutions, and validate processes in various environments
  • Serve as a liaison between software users and technical teams
  • Conduct assessments of current processes and recommend improvements
  • Collect data and substantiate assumptions through quantitative analysis
  • Perform necessary configuration changes to support claim processing
  • Engage in ad hoc reporting and measure outcomes of quality improvements

Benefits

  • Opportunities for ongoing skill development and professional competency maintenance
  • Emphasis on knowledge transfer practices for continuity of services
  • Review and potential replacement of personnel to ensure performance standards are met
  • Chance to work on impactful healthcare projects and initiatives
Full Job Description
Purpose

The Vendor shall provide personnel possessing the knowledge, skills, and experience necessary to successfully perform the services described below. The Vendor is responsible for ensuring that assigned resources have the appropriate qualifications.

Required Responsibilities, Services & Skills

Resources assigned to the engagement should demonstrate proficiency, as applicable to their assigned role, in the following areas:
  • Participates in developing and/or modifying requirements, business design specifications, user training and documentation
  • Tests and documents solutions
  • Serves as liaison between users of the software and technical staff
  • Conducts assessments of current processes, reports and procedures
  • Collects data and performs quantitative analysis to substantiate assumptions
  • Performs any necessary ad hoc reporting
  • Measures outcomes of quality improvements using metrics and benchmarking criteria
  • Health care claims experience that includes work flow design, data analysis, and/or systems automation and testing
  • Perform any necessary configuration changes supporting claim hold
  • Generate or gather needed test data
  • Performs necessary validation in test and production environments according to business requirements
  • Analytical, problem-solving, and decision-making capabilities
  • Written and verbal communication skills are sufficient to interact effectively with business and technical stakeholders
  • Collaboration skills across cross-functional teams

Role-Based Competencies

The Vendor shall identify the specific skills, certifications, experience levels, and responsibilities associated with each proposed resource. At a minimum, the Vendor should describe:
  • Preferred experience in claims, provider, and pricing services
  • Preferred Safe Agile certifications or 3+ years of experience as Product Owner
  • Preferred experience in Fusion and/or Streamline
  • Experience in QTest, JIRA
  • Experience in mainframe and PEGA systems
  • Experience supporting comparable projects or organizations

Resource Qualifications

Vendor personnel shall possess qualifications commensurate with the complexity of the work being performed. The Customer reserves the right to review proposed resource qualifications and request replacement of personnel who do not meet the agreed-upon skill requirements or whose performance does not satisfy the expectations of the engagement.

Knowledge Transfer and Continuity

The Vendor shall maintain appropriate documentation and knowledge transfer practices to ensure continuity of services and minimize disruption resulting from personnel changes. Replacement resources shall possess qualifications substantially equivalent to those of the individual being replaced.

Ongoing Skill Maintenance

The Vendor is responsible for maintaining the professional competency of assigned personnel throughout the engagement and ensuring that resources remain current with technologies, industry practices, and regulatory requirements applicable to the services provided.

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.

About Cognizant

TriZetto is Powering Integrated Healthcare Management. With technology solutions touching more than half the U.S. population today, TriZetto is uniquely positioned to drive the convergence of core benefit administration, care management and constituent engagement. TriZetto provides premier information technology solutions that enable payers and other constituents in the healthcare supply chain to improve the coordination of benefits and care for healthcare consumers.

Cognizant Careers

Join the vibrant team at Cognizant, a leading provider of information technology, consulting, and business process services. Cognizant is not just a company; it's a community where innovation, leadership, and diversity are valued and where every team member is encouraged to thrive.

Work You’ll Do

At Cognizant, we are dedicated to helping the world's leading companies build stronger businesses — not just for today but for the future. This commitment to growth and sustainability is what makes Cognizant a unique place to advance your career.

Explore Job Opportunities

Whether you're looking for an entry-level position or a more senior role, Cognizant offers a plethora of job opportunities that could be perfect for you. Our hiring process is designed to be transparent and engaging, ensuring that every candidate is able to showcase their skills and potential fully.

Innovative Work

Join a team where innovation is at the core of everything we do. Cognizant’s professionals are not just part of a company; they're part of a groundbreaking environment that combines technology, insights, and leadership to foster innovation across global industries.

Internship Programs

Kickstart your career with Cognizant’s internship programs. These opportunities allow you to gain hands-on experience, develop your professional skills, and network with experts in your field. An internship at Cognizant is a stepping stone to full-time employment and a chance to see how your studies apply in the real world.

Professional Growth and Development

Cognizant is committed to the professional growth of its employees. With access to cutting-edge training, leadership programs, and diversity initiatives, you can build a career that’s equipped for the demands of tomorrow’s business landscape.

Benefits and Culture

Our employees enjoy a range of benefits designed to support their physical, financial, and emotional well-being. Cognizant’s culture is built on a foundation of respect and inclusivity, where everyone’s contribution is valued. Join us and be part of a team that celebrates diversity and is driven to make a positive impact on the world.

Stay Connected

Join Our Team Search open positions that match your skills and interests. We look for passionate, curious, creative, and solution-driven team players. Ready to take the next step in your career journey? Explore the exciting employment and career opportunities waiting for you at Cognizant.

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Networking and Interviews

Enhance your career prospects at Cognizant through our robust networking events. Prepare your resume, sharpen your interview skills, and connect with leaders across the industry to unlock new career paths. At Cognizant, we don’t just offer jobs; we offer career journeys. Be part of a team that’s committed to your long-term career growth and professional development. Join Cognizant today and be a part of our success story.
Learn more about Cognizant
Size
340,400 employees
Market Cap
$28.7 billion
Industry
Net Income
$1.3 billion
Founded
1994
5 Year Trend
+6.5%
Revenue
$16.6 billion
NASDAQ

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