List of Cognizant TriZetto Clinical CareAdvance Customers
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United States
Since 2010, our global team of researchers has been studying Cognizant TriZetto Clinical CareAdvance customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased Cognizant TriZetto Clinical CareAdvance for Medical Care Management from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using Cognizant TriZetto Clinical CareAdvance for Medical Care Management include: Molina Healthcare, a United States based Healthcare organisation with 18000 employees and revenues of $40.65 billion, Blue Cross Blue Shield of Michigan, a United States based Insurance organisation with 9500 employees and revenues of $36.30 billion, CareSource, a United States based Insurance organisation with 4500 employees and revenues of $11.80 billion, L.A. Care Health Plan, a United States based Insurance organisation with 2500 employees and revenues of $9.00 billion, BlueCross BlueShield of Tennessee, a United States based Insurance organisation with 6500 employees and revenues of $8.60 billion and many others.
Contact us if you need a completed and verified list of companies using Cognizant TriZetto Clinical CareAdvance, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
The Cognizant TriZetto Clinical CareAdvance customer wins are being incorporated in our Enterprise Applications Buyer Insight and Technographics Customer Database which has over 100 data fields that detail company usage of software systems and their digital transformation initiatives. Apps Run The World wants to become your No. 1 technographic data source!
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight |
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Adventist Health | Healthcare | 28600 | $6.3B | United States | Cognizant | Cognizant TriZetto Clinical CareAdvance | Medical Care Management | 2018 | n/a |
In 2018 Adventist Health implemented Cognizant TriZetto Clinical CareAdvance as part of its Medical Care Management tooling and engaged TriZetto HealthCheck Optimization Services to perform an end-to-end collaborative review of health plan processes. The deployment targeted the organization’s Employee Health Plan and Claims Operations, with Cognizant delivering application configuration and advisory services aligned to payer-oriented care management workflows.
The engagement focused on mapping and instrumenting core health plan processes and claims operations, including member-facing review workflows and clinical care review sequences common to Medical Care Management platforms. The HealthCheck review identified manual processes and workarounds that could be remediated through targeted configuration or process change, and the implementation emphasized low configuration cost changes where possible to minimize technical overhead.
Governance of the initiative was led from Employee Health Plan and Claims Operations, using cross-functional collaborative review to rework operational handoffs and standardize review workflows. The outcome reported by Adventist Health included reduced manual workarounds and improved efficiencies and member experiences, achieved while incurring minimal or no additional configuration costs.
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Arkansas Blue Cross and Blue Shield | Insurance | 3375 | $1.1B | United States | Cognizant | Cognizant TriZetto Clinical CareAdvance | Medical Care Management | 2017 | n/a |
In 2017, Arkansas Blue Cross and Blue Shield deployed Cognizant TriZetto Clinical CareAdvance as a Medical Care Management platform to support case management and disease management business functions. The implementation focused on operationalizing care pathways and case workflows across multiple lines of business within the organization.
Configuration and content management centered on the Clinical CareAdvance content editor, with Technical Analysts maintaining and building forms, assessments, clinical guidelines, member profiles, and conceptual content artifacts. The team led design and workflow documentation for case management and disease management, and designed, developed, and documented testing plans for scheduled releases and hotfixes of Cognizant TriZetto Clinical CareAdvance.
Operational integration included regular liaison work with the vendor Cognizant and coordination with other Arkansas Blue Cross and Blue Shield divisions to resolve system issues and scope feature work. The program covered multiline business user groups and involved subject matter expertise on a project committee for the Affinite implementation, reflecting cross‑functional coordination and platform alignment with other initiatives.
Governance and rollout activities were anchored by structured testing, communications, and training programs, with Technical Analysts analyzing system problems and recommending solutions. Staff responsibilities also included developing communication plans, conducting user training for varying lines of business, and serving as project manager for the annual Case Management Conference to support ongoing governance and knowledge sharing.
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Blue Cross Blue Shield of Michigan | Insurance | 9500 | $36.3B | United States | Cognizant | Cognizant TriZetto Clinical CareAdvance | Medical Care Management | 2017 | n/a |
In 2017 Blue Cross Blue Shield of Michigan implemented Cognizant TriZetto Clinical CareAdvance to support Medical Care Management for its HMO care management and chronic disease programs. The deployment positioned Cognizant TriZetto Clinical CareAdvance as the central care management application, establishing a structured communication layer between members and healthcare professionals and operationalizing care plans, authorizations, and utilization management workflows.
Configuration work emphasized care coordination, member engagement, chronic disease management workflows, clinical documentation and authorization capabilities, and extensive data mapping. Implementation activities documented project scope and technical impacts, and streamlined data mapping processes to align business requirements with technical integration points for reporting and care management operations.
Integrations included the BCBSM in-house Patient Clinical Summary PCS to supply HEDIS teams with the clinical and performance data needed for provider assessment, with operational coverage concentrated on the HMO segment and HEDIS functions. Support and operational stabilization work used Alation to construct and publish queries to automate ad-hoc reporting, and the team documented over 1,500 data extracts to ensure consistent data feeds and to prevent disruptive data warehouse failures during twice yearly system upgrades.
Governance centered on cross functional technical alignment between IT and business stakeholders, clear documentation of stakeholder impacts, and refined data governance and mapping processes to support care management workflows. Explicit outcomes recorded during support activities included automating ad-hoc reports that reduced manual effort by 90 percent, achieving a documented $10,000 cost reduction per extract through standard data layouts, and preventing HMO data warehouse disruptions related to system upgrades twice yearly.
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BlueCross BlueShield of Tennessee | Insurance | 6500 | $8.6B | United States | Cognizant | Cognizant TriZetto Clinical CareAdvance | Medical Care Management | 2016 | n/a |
In 2016, BlueCross BlueShield of Tennessee implemented Cognizant TriZetto Clinical CareAdvance as a core platform for clinical operations. The deployment focused on payer-side care coordination and utilization oversight, aligning the Cognizant TriZetto Clinical CareAdvance rollout with the insurer’s clinical case management and utilization management functions, and is categorized under Medical Care Management.
The implementation configured Clinical CareAdvance to support core Medical Care Management workflows, including case management work queues, concurrent review and retrospective review processes, authorization lifecycle management, discharge planning support, long term care assessment tracking, and provider appeals recordation. Configuration emphasized standardized clinical documentation templates, clinical rule sets for utilization review, and role based workflows for nurse reviewers and case managers.
Operational scope centered on clinical operations and utilization management teams within the payer organization, with the platform provisioned to manage hospital admissions coordination, care transition activities, authorization issuance, and ongoing case status tracking. Architecture was established to support integration capable interfaces for payer workflow automation and data exchange, while maintaining centralized administration of clinical policies and user access controls.
Governance activities focused on formalizing case management workflows, defining escalation paths for clinical review, and implementing audit and compliance controls consistent with payer regulatory responsibilities. The implementation reinforced operational discipline across case management, utilization review, discharge planning, and long term care authorization processes, with the Cognizant TriZetto Clinical CareAdvance instance serving as the authoritative system for those functions.
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Capital Blue Cross | Insurance | 1900 | $2.6B | United States | Cognizant | Cognizant TriZetto Clinical CareAdvance | Medical Care Management | 2013 | n/a |
In 2013, Capital Blue Cross implemented Cognizant TriZetto Clinical CareAdvance to support its Medical Care Management capability for payer clinical operations. The deployment was positioned to centralize care management workflows within the health plan, aligning the application with care coordination, utilization review, and member care planning functions.
Implementation work included configuration of Clinical CareAdvance functional workflows and clinical rules, alongside platform level database and ETL engineering. Teams performed SQL database maintenance and support using SQL Server Management Studio, managed ETL development and scheduling with SQL Server Integration Services, and used Toad for database administration, while developing scripted jobs for data warehousing and nightly ingestion.
Operational integration focused on building data ingestion pipelines and scheduled ETL jobs to consolidate plan operational feeds, providing a unified clinical data store to drive care management processes. The deployment connected Clinical CareAdvance to downstream reporting and analytics processes via the clinical data warehouse, enabling coordinated workflows between clinical case teams and operational reporting.
Run time governance and operational support emphasized on-call server support, ticketed help desk workflows, and scheduled maintenance windows, with IT and clinical informatics resources responsible for SSIS job scheduling, script automation, and incident triage. Ongoing platform administration centered on SQL maintenance, ETL orchestration, and service level monitoring to sustain Cognizant TriZetto Clinical CareAdvance as the plan level Medical Care Management system.
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Insurance | 4500 | $11.8B | United States | Cognizant | Cognizant TriZetto Clinical CareAdvance | Medical Care Management | 2016 | n/a |
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Healthcare | 1300 | $588M | United States | Cognizant | Cognizant TriZetto Clinical CareAdvance | Medical Care Management | 2012 | n/a |
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Insurance | 950 | $321M | United States | Cognizant | Cognizant TriZetto Clinical CareAdvance | Medical Care Management | 2018 | n/a |
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Insurance | 3000 | $1.0B | United States | Cognizant | Cognizant TriZetto Clinical CareAdvance | Medical Care Management | 2018 | n/a |
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Insurance | 4000 | $6.6B | United States | Cognizant | Cognizant TriZetto Clinical CareAdvance | Medical Care Management | 2020 | n/a |
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Buyer Intent: Companies Evaluating Cognizant TriZetto Clinical CareAdvance
- CosX, a United Kingdom based Professional Services organization with 160 Employees
- LanceSoft, Inc, a United States based Professional Services company with 5000 Employees
- Oswego Hospital, a United States based Healthcare organization with 1335 Employees
Discover Software Buyers actively Evaluating Enterprise Applications
| Logo | Company | Industry | Employees | Revenue | Country | Evaluated |
|---|---|---|---|---|---|---|
| CosX | Professional Services | 160 | $20M | United Kingdom | 2026-03-31 | |
| LanceSoft, Inc | Professional Services | 5000 | $1.1B | United States | 2026-03-10 | |
| Oswego Hospital | Healthcare | 1335 | $153M | United States | 2026-02-24 | |
| Education | 12000 | $2.0B | United States | 2026-02-19 | ||
| Healthcare | 1500 | $350M | United States | 2025-03-30 |