Sr. Healthcare Product Consultant – Medicare (Remote) jobs in United States
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Cognizant · 22 hours ago

Sr. Healthcare Product Consultant – Medicare (Remote)

Cognizant is a leading provider of technology solutions, and they are seeking a Senior Healthcare Product Consultant – Medicare to shape innovative product offerings for their Elements portfolio. The role involves guiding clients through complex Medicare and Medicaid program requirements, translating regulatory guidance into actionable product roadmaps, and collaborating with various teams to ensure successful implementations.

ConsultingIndustrial AutomationInformation TechnologySoftwareSoftware Engineering
badNo H1Bnote

Responsibilities

Lead discovery with client executives and senior staff to understand needs across enrollment, reconciliation, encounters, and risk adjustment, and translate them into product recommendations and implementation plans
Identify gaps and requirements using TriZetto/Elements processes and define technology solutions that align with client goals and industry direction (Cloud, SaaS, Service‑oriented architectures)
Interpret CMS and other agency guidance and drive those updates through the product implementation process and roadmap
Define and evolve product roadmaps, business cases, and financial models; establish customer personas and market profiles; and translate insights into prioritized features
Partner with Product Owners and Agile delivery teams to define features, scope initiatives, and support execution to plan
Oversee commercialization and go‑to‑market readiness (training, collateral, enablement) and provide tactical support to sales and marketing
Act as a cross‑functional bridge among technical, operational, and business teams to align priorities and execution
Use data, usage analytics, and KPIs to inform decisions, measure post‑launch performance, and drive continuous improvement
Ensure products meet healthcare regulatory, compliance, and security standards; lead client demos, kick‑offs, and knowledge‑transfer sessions

Qualification

Medicare enrollment operationsRegulatory guidance translationProduct management experienceRisk adjustment modelsTriZetto Elements knowledgeClient-facing communicationCollaboration with stakeholdersBusiness case craftingAgile methodologyPresentation skills

Required

7+ years of experience in the software/healthcare industry in a product consulting or product management capacity focused on government‑sponsored programs
Deep expertise in Medicare enrollment operations, with working knowledge of reconciliation, encounters, and risk adjustment
Demonstrated ability to translate regulatory guidance (CMS and other agencies) and industry feedback into product requirements, roadmaps, and client implementations
Proven experience collaborating with sales, marketing, engineering, and clients to deliver value and meet timelines
Strong client‑facing communication and presentation skills, able to engage executives and senior stakeholders
Bachelor's degree (or equivalent combination of education and relevant experience)

Preferred

Medicare Fundamentals (TZU) certification
Hands‑on experience with risk adjustment models (CMS‑HCC, HHS‑HCC, CDPS, etc.) and familiarity with Prescription Drug Events (PDE) and Part D reporting
Experience working within large, complex, highly regulated organizations
Strength in crafting business cases, value propositions, and clear product collateral
Knowledge of TriZetto Elements products and experience operationalizing strategy across a portfolio

Benefits

Medical/Dental/Vision/Life Insurance
Paid holidays plus Paid Time Off
401(k) plan and contributions
Long-term/Short-term Disability
Paid Parental Leave
Employee Stock Purchase Plan

Company

Cognizant

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Cognizant is a professional services company that helps clients alter their business, operating, and technology models for the digital era.

Funding

Current Stage
Public Company
Total Funding
$0.24M
Key Investors
Summit Financial Wealth Advisors
2025-03-08Post Ipo Equity
2016-11-18Post Ipo Equity· $0.24M
1998-06-19IPO

Leadership Team

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Ravi Kumar S
Chief Executive Officer
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Anil Cheriyan
CTO / EVP Strategy & Technology
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Company data provided by crunchbase