Vendor Analysis
published on Oct 15, 2025
Report Overview:
This NelsonHall vendor assessment analyzes Cognizant's offerings and capabilities in Healthcare Payer Agility and Innovation with BPS Intervention.
Who is this Report for:
NelsonHall’s Healthcare Payer BPS profile on Cognizant is a comprehensive assessment of Cognizant‘s offerings and capabilities, designed for:
- Sourcing managers monitoring the capabilities of existing suppliers of Healthcare BPS and identifying vendor suitability for Healthcare Payer BPS RFPs
- Vendor marketing, sales, and business managers looking to benchmark themselves against their peers
- Financial analysts and investors specializing in the Healthcare Payer BPS sector.
Scope of this Report:
The report provides a comprehensive and objective analysis of Cognizant‘s Healthcare Payer BPS offerings, capabilities, and market and financial strengths, including:
- Identification of the company’s strategy, emphasis, and new developments
- Analysis of the company’s strengths, challenges, and outlook
- Revenue estimates
- Analysis of the profile of the company’s customer base, including the company’s targeting strategy and examples of current contracts
- Analysis of the company’s offerings and key service components
- Analysis of the company’s delivery organization, including the location of delivery centers.
Key Findings & Highlights:
Cognizant is an information technology, business process management, and consulting company. Founded in 1994, with global headquarters in Teaneck, NJ, U.S., and ~335k employees globally across ~290 offices. It offers end-to-end services, including claims administration, member and provider management, quality, risk, and performance management, as well as platform-enabled operations and support to private sector healthcare payers.
Cognizant’s healthcare payer practice includes both BPO and BPaaS services across ~17 delivery centers, managing ~200m memberships and 23 of the 25 top U.S. health plans under management, including ~400 healthcare payer organizations.
Cognizant offerings discussed with NelsonHall were:
- Claims Management and Administration (e.g., COB checks and outreach to improve claim accuracy early)
- Member Services and Engagement (e.g., unified platform preventing duplicate records and silos)
- Provider Management/Administration and Network Management (e.g., AI/NLP enablement to keep provider data clean and synced)
- Quality, Risk, and Performance Management (e.g., AI to extract diagnoses to improve risk scores)
- Platform-Enabled Operations and Integrations Support (e.g., EDI routing to reduce errors and delays).
