
Product Talk Cognizant Senior Director on Building Responsible AI Gateways for Healthcare at Scale
Jan 7, 2026
Elliot Papadakis, Senior Director at Cognizant, leads generative AI initiatives in healthcare. He shares insights on building the TriZetto AI Gateway, focusing on responsible AI practices that enhance trust and transparency. Elliot emphasizes the importance of efficiency in healthcare and how AI can streamline workflows while reducing costs. He discusses the balance between innovation and accountability, highlighting the potential of AI to combat fraud and improve interoperability among systems. His vision aims to make healthcare more accessible and effective.
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Central Responsible AI Control
- The TriZetto AI Gateway centralizes generative AI while enforcing monitoring, transparency, and rapid shutdown if needed.
- Elliot Papadakis says this ensures responsible, auditable AI use across products and clients.
Holistic Orchestration Creates Advantage
- TAG creates a holistic canvas that can orchestrate data and capabilities across TriZetto products and client enterprises.
- Elliot calls this cross-product orchestration an unfair advantage hard to reproduce externally.
Prioritize Micro-Workflow Automation
- Focus on micro-workflows that present high-effort, high-value opportunities for AI to synthesize data at decision points.
- Design human-in-the-loop guardrails so experts make final decisions while AI increases their productivity.



