Remote Healthcare Transformation Consulting Manager

Cognizant; Annapolis (MD); On-site; USD 81,000 - 130,000; Full time

Benefits offered by this job

Health insurance

Paid time off

401(k)

Disability insurance

Parental leave

Employee stock purchase plan

Job summary

Cognizant Consulting in the United States is seeking a Consulting Manager, Healthcare Business Transformation to lead a comprehensive LTSS operations assessment and identify opportunities to improve processes, data integrity, and financial performance.

You will collaborate with stakeholders across IT, finance, and care operations, develop remediation roadmaps, and present findings to executives, enabling targeted transformations and reduced risk.

Qualifications

• Bachelor's degree or equivalent professional experience in Healthcare Administration, Information Systems, Business, or related field.
• 8+ years of experience in healthcare consulting, business transformation, program management, or healthcare operations.
• Strong experience with QNXT and healthcare payer platforms, including claims, benefits, enrollments, and authorization workflows.
• Experience working with Pega-based healthcare workflows, care management, or authorization management processes.
• Proven expertise in healthcare process analysis, stakeholder management, business requirements, and current-state/future-state process mapping.
• Experience conducting system integration reviews, data lineage assessments, reconciliation analysis, and business impact evaluations.
• Strong communication and executive presentation skills with the ability to influence stakeholders across business and technology organizations.
• Experience creating executive-level deliverables, recommendations, remediation roadmaps, and transformation strategies.

Responsibilities

• Lead end-to-end assessment and documentation of LTSS business processes across authorization, claims, provider, member, and financial workflows.
• Analyze interactions between Pega, QNXT, and related healthcare platforms to identify process, integration, and data flow gaps.
• Evaluate authorization-to-claims transaction integrity, data mappings, and operational controls to identify root causes of processing issues and financial leakage.
• Facilitate stakeholder workshops, discovery sessions, and executive presentations to align business and technology teams on findings and recommendations.
• Develop actionable remediation roadmaps, business cases, risk assessments, and transformation strategies that improve operational performance and reduce business risk.

Skills

Healthcare consulting

Business transformation

Program management

Healthcare operations

Stakeholder management

Executive presentation

Current-state/future-state mapping

Remediation roadmaps

Transformation strategies

Data governance

Data lineage

System integration reviews

Education

Bachelor's degree or equivalent professional experience

Tools

QNXT

Pega

Job description

Cognizant Consulting in the United States is seeking a Consulting Manager, Healthcare Business Transformation to lead a comprehensive LTSS operations assessment and identify opportunities to improve processes, data integrity, and financial performance.

You will collaborate with stakeholders across IT, finance, and care operations, develop remediation roadmaps, and present findings to executives, enabling targeted transformations and reduced risk.