Agreement Will Leverage Cognizant's TriZetto
Healthcare Products in Support of Horizon's Claims, Encounters, and
Enrollment Member Services
TEANECK,
N.J., April 20, 2023 /PRNewswire/
-- Cognizant (NASDAQ: CTSH) has been selected by Horizon
Healthcare Services, Inc. (Horizon), New
Jersey's oldest and largest health insurer, to support its
government healthcare programs. As part of a 7-year renewal
agreement, Cognizant will manage Horizon's claims processing,
encounters submissions to the state, provider configuration, and
enrollment services for its 1.2 million Medicaid and Dual Eligible
Special Needs Plan (D-SNP) members.
Cognizant will leverage its TriZetto healthcare products
suite to provide end-to-end support for Horizon, including hosting
the insurer's operations on its Facets platform. By utilizing
advanced automation solutions, Cognizant will help Horizon expedite
the claims payment process and ensure accuracy in support of
excellent member-provider experiences.
"Working together since 2016, Cognizant has streamlined
Horizon's operations and improved the quality of services for
Horizon's growing membership," said Sanjay
Subramanian, Cognizant Head of Healthcare Payer Services.
"During the pandemic, Cognizant was able to quickly scale its
services to accommodate Horizon's member enrollment growing from
850k to 1.2m members. We are proud to continue our work
with Horizon and support their government healthcare programs with
reliable, efficient, and accurate healthcare technology."
"Our collaboration with Cognizant has helped keep Horizon
compliant with government requirements and establish us as a market
leader in New Jersey for Medicaid,
D-SNP, and other programs," said Mark L.
Barnard, EVP, Government Programs and Operations at Horizon.
"More than half of New Jerseyans covered by Medicaid choose
Horizon. Our plan participant numbers have skyrocketed in recent
years, and Cognizant's rich expertise in New Jersey state Medicaid requirements and its
highly scalable TriZetto Facets platform have helped us provide
quality engagement for our membership."
Cognizant's TriZetto healthcare products are a portfolio of
software solutions that help organizations enhance revenue growth,
drive administrative efficiency, improve cost and quality of care,
and improve the member and patient experience. TriZetto's
Enterprise portfolio includes 347K+ healthcare providers, 8K+
health insurance payers, and 2.6B
annual transactions on its Facets and QNXT platforms.
Learn more: Cognizant's Healthcare Technology
Solutions
About Cognizant
Cognizant (Nasdaq: CTSH) engineers
modern businesses. We help our clients modernize technology,
reimagine processes and transform experiences so they can stay
ahead in our fast-changing world. Together, we're improving
everyday life. See how at www.cognizant.com or @cognizant.
For more information, contact:
Cognizant U.S.
Josh Blumenthal
joshua.blumenthal@Cognizant.com
Cognizant India
Rashmi Vasisht
rashmi.vasisht@Cognizant.com
Cognizant Europe / APAC
Christina Schneider
christina.schneider@cognizant.com
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SOURCE Cognizant