Horizon Healthcare Services selects Cognizant to support its government health care programs for 1.2M members

Cognizant was selected by Horizon Healthcare Services, New Jersey’s oldest and largest health insurer, to support its government health care programs.

According to a Thursday announcement from Teaneck-based Cognizant, as part of a seven-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 members.

Cognizant plans to leverage its TriZetto health care products suite to provide end-to-end 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,” Sanjay Subramanian, Cognizant head of health care payer services, said. “During the pandemic, Cognizant was able to quickly scale its services to accommodate Horizon’s member enrollment growing from 850,000 to 1.2 million members. We are proud to continue our work with Horizon and support their government health care programs with reliable, efficient and accurate health care technology.”

“Our collaboration with Cognizant has helped keep Horizon compliant with government requirements and establish us as a market leader in New Jersey for Medicaid, D-SNP, and other programs,” Mark Barnard, executive vice president, government programs and operations at Horizon, said. “More than half of New Jerseyans covered by Medicaid choose Horizon. Our plan participant numbers have skyrocketed in recent years, and Cognizant’s rich expertise in New Jersey state Medicaid requirements and its highly scalable TriZetto Facets platform have helped us provide quality engagement for our membership.”