About Cognizant Consulting:

Cognizant Consulting is more than Cognizant's consulting practice-we're a global community of 6,000+ experts dedicated to helping clients reimagine their business. Blending our deep industry and technology advisory capability, we create innovative business solutions for Fortune 500 clients. And now, we're looking for our next colleague who'll join us in shaping the future of business. Could it be you?

About the role:

As a Consulting Manager, Healthcare Business Transformation, you will make an impact by leading a comprehensive assessment of enterprise Long-Term Services and Supports ( LTSS ) operations, identifying opportunities to improve process efficiency, system interoperability, data integrity, and financial performance. You will be a valued member of the Healthcare Consulting team and work collaboratively with business stakeholders, LTSS operations teams, product owners, IT teams, architects, data analysts, finance leaders, and executive sponsors. In this role, you will:

• 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.

Work model:

We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs. The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations. What you need to have to be considered:

• Bachelor's degree or equivalent professional experience in Healthcare Adm To view full details and how to apply, please login or create a Job Seeker account