Senior Consulting Manager, Healthcare Payer System/Product Owner

Cognizant is a professional services company providing consulting and technology-enabled business transformation services. The Senior Consulting Manager will lead business analysis and process design for healthcare payer initiatives, facilitating requirements, validating scope, ensuring traceability, and reviewing the work of junior analysts across multiple concurrent efforts.

Responsibilities:

• Serve as lead business analyst/consultant on payer initiatives, owning requirements quality and end-to end traceability from intake through validated delivery
• Facilitate elicitation workshops with SMEs, business owners, and delivery teams to define and refine features and requirements
• Act as expert advisor/SME for business analysis and process design, and peer-review work produced by junior and associate analysts
• Partner with the PM, Initiative Owner, and Enterprise Business Architect to validate scope, develop status reports, and manage multiple concurrent initiatives
• Impact Assessment
• Agile Artifacts (Epics, Features, User Stories) and Process Flows
• Business/Functional Requirements Document
• RAID Log
• Requirements Quality and approval artifacts
• Requirements Traceability Matrix
• Internal and Client Presentations

Requirements:

• Payer knowledge (required): Hands-on payer expertise in at-least 3 core areas such as claims, membership, Products, provider & network data, care/utilization management, member services, or customer service
• 10+ years in business analysis, process design, or healthcare consulting, including a lead-analyst role on complex initiatives
• Proven ability to facilitate workshops, elicit requirements from technical and non-technical stakeholders, and manage multiple initiatives independently
• Strong command of requirements documentation, traceability, and structured delivery methodologies (Agile, Waterfall, hybrid)
• *Travel: willingness to travel extensively as client needs require
• Education: Bachelor's degree required
• Work Authorization: Must be legally authorized to work in the United States without employer sponsorship now or in the future
• Preferred: Working familiarity with generative AI tools and an understanding of agentification (how agentic AI workflows can automate and augment requirement tasks)
• Preferred: Familiarity with payer regulatory frameworks (CMS, ACA, HIPAA, NCQA), EDI transactions (834, 837, 835, 270/271), and core admin platforms (Facets, QNXT, HealthEdge) plus requirements tools (Jira, ADO, ALM)
• Preferred: Certification in AHIP, CBAP, or CSPO is a plus
• MBA or master's strongly preferred