Horizon Healthcare Services, New Jersey’s largest health insurer, has selected Cognizant 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 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.”
Cognizant’s TriZetto Enterprise portfolio includes 347K+ healthcare providers, 8K+ health insurance payers, and 2.6B annual transactions on its Facets and QNXT platforms.