Introduction: Drive Healthcare Operations & Compliance at Cognizant Cognizant is actively hiring an experienced Business Analyst (Job ID: 00069367842) for its Technology & Engineering division in Pune, India. Operating on a hybrid work model in night shifts, this role is tailored for healthcare domain specialists with 4 to 5 years of experience across the Payer and Provider space.
You will play a pivotal role in managing Benefits Open Enrollment, ensuring HIPAA-compliant processes, and translating complex healthcare workflows into seamless operational and technical executions for global clients.
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Understanding the Role: What Will You Do at Cognizant? As a Healthcare Business Analyst, you will act as the analytical bridge between operations, technology, compliance, and client-facing teams during US-aligned night shift hours.
Your core day-to-day responsibilities will include:
- Workflow & Gap Analysis: Analyzing intricate healthcare payer and provider workflows covering enrollment, eligibility, billing, and claims to identify inefficiencies, process gaps, and compliance risks.
- Documentation & Impact Assessment: Authoring comprehensive Business Requirement Documents (BRDs), functional specifications, and change impact assessments that clearly communicate enrollment impacts across teams.
- KPI Monitoring & Optimization: Tracking key performance indicators (KPIs) such as enrollment accuracy, turnaround time (TAT), and rejection rates to propose data-driven service improvements.
- Process Automation: Identifying and proposing automation opportunities for enrollment validations, system reconciliations, and member notifications to reduce manual effort and error risks.
- Stakeholder Alignment & Training: Leading night-shift requirement reviews with global stakeholders and assisting in developing reference guides and training materials for operations staff on updated plan structures and exception handling.
Eligibility Criteria & Required Skills
- Experience Level: 4 to 5 years of focused experience as a Business Analyst specifically within the Healthcare domain.
- Educational Qualifications: Bachelor’s or Master’s Degree.
- Location & Shift: Pune, Maharashtra, India (Hybrid Work Model | Night Shifts).
- Core Domain Expertise: Deep practical knowledge of both Payer and Provider interactions, specifically around Benefits Open Enrollment, life event processing, plan mapping, eligibility feeds, and network reconciliation.
- Regulatory Compliance: Working knowledge of HIPAA regulations to safeguard member data during eligibility updates and enrollment file transmissions.
- BA Toolkit: Strong proficiency in requirements elicitation, process mapping, and enterprise documentation tools.
Value Add: How to Optimize Your Resume for the Cognizant ATS To pass Cognizant’s screening process for Job ID 00069367842, your resume must highlight US Healthcare terminology rather than generic business analysis skills:
- Emphasize Open Enrollment & Eligibility: Explicitly highlight your experience with Benefits Open Enrollment, Qualifying Life Events (QLE), Plan Mapping, and Eligibility Feeds (such as EDI 834) in your recent project descriptions.
- Showcase Both Payer & Provider Exposure: Since the job description specifically asks for substantial exposure to both sides of the healthcare ecosystem, clearly label your past projects as Payer or Provider initiatives.
- Quantify Operational Metrics: Frame your achievements around the exact KPIs mentioned in the job listing—such as reducing enrollment rejection rates, improving turnaround times (TAT), or automating eligibility reconciliations.
Interview Preparation Strategy Expect scenario-based and domain-heavy technical rounds with the Cognizant hiring team:
- Open Enrollment Scenarios: Be prepared to walk through the end-to-end lifecycle of an open enrollment period, explaining how you handle exception queues, retroactive eligibility updates, and reconciliation discrepancies between payer systems and provider networks.
- HIPAA Data Security: Expect questions on how you design functional specifications that enforce HIPAA compliance when transmitting member enrollment files across external vendor systems.
- Change Impact Analysis: Practice explaining a real-world example where a regulatory update or health plan structure change required you to write a Change Impact Assessment and retrain operations teams under tight deadlines.
📌 Official Application Link: Cognizant Official Application Portal
Cognizant Recruitment 2026: Business Analyst – Healthcare Payer & Provider (4–5 Yrs Exp) | Pune (Hybrid)
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