Remote Healthcare Payer UM/A&G Specialist

Cognizant; Englewood (CO); Remote; USD 113,000 - 132,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid holidays plus Paid Time Off

401(k) plan and contributions

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Job summary

Cognizant is seeking a Healthcare Payer Consultant with QNXT UM/A&G expertise to optimize member and provider communications for payers. You’ll configure, analyze, and support UM/A&G communications, design letters, and translate business requirements into scalable solutions.

You’ll collaborate with clients, delivery teams, product teams, and offshore partners to meet project goals. The role is remote for qualified US applicants, offering a competitive salary and Cognizant’s incentive program.

Qualifications

• Experience supporting healthcare payer operations, including Utilization Management and/or Appeals & Grievances processes.
• Advanced knowledge of QNXT UM and/or A&G.
• Advanced proficiency in Microsoft Word and Excel.
• Experience gathering business requirements and translating them into client solutions.
• Working knowledge of XML design and content development.
• Intermediate proficiency with Adobe Illustrator, Photoshop, and InDesign.
• Strong analytical, troubleshooting, and problem‑solving skills.
• Experience managing multiple priorities and collaborating with onsite and offshore teams.
• Strong verbal, written, and presentation communication skills.

Responsibilities

• Serve as a subject matter expert for UM and/or A&G workflows within healthcare payer organizations.
• Configure, analyze, and support correspondence and communication solutions leveraging QNXT UM and/or A&G functionality.
• Consult with clients on Medicare and commercial letter requirements and business rules.
• Gather, analyze, and document business requirements and translate them into scalable communication solutions.
• Manage multiple project timelines while collaborating with offshore teams and cross-functional stakeholders.

Skills

Utilization Management

A&G

QNXT UM/A&G

Microsoft Word

Microsoft Excel

XML design

Adobe Illustrator

Photoshop

InDesign

Communication skills

Analytical skills

Problem solving

Tools

Microsoft Word

Microsoft Excel

XML design

Adobe Illustrator

Photoshop

InDesign

Job description

Cognizant is seeking a Healthcare Payer Consultant with QNXT UM/A&G expertise to optimize member and provider communications for payers. You’ll configure, analyze, and support UM/A&G communications, design letters, and translate business requirements into scalable solutions.

You’ll collaborate with clients, delivery teams, product teams, and offshore partners to meet project goals. The role is remote for qualified US applicants, offering a competitive salary and Cognizant’s incentive program.