Healthcare Payer Solutions
A Transformative Partnership
Our approach to healthcare payer digital transformation begins and ends with partnership. With a combined 360+ years of experience working in and for payer organizations, our team understands payer operations and technology and uses that deep knowledge to create intelligent automation, optimize core platforms, and architect end-to-end solutions for clients seeking to enhance digital presence, reduce total cost of ownership, and stay current with fast-changing directives from both internal and external sources.
DIGITAL ENGINEERING FOR HEALTHCARE PAYERS
KEY SOLUTIONS
- Platform Assessment and Cloud Operating Model
- Azure and AWS Platform Migrations
- Next-Gen Facets Strategy and Implementation
- Managed Services – Azure and AWS Deployments
- CAA and Mandate Compliance Solutions
- New Feature Utilization
- Performance Dashboards
- Security and Role Management
- Retroactive Activity Automation
- Data Mapping
- First Pass Rate (FPR) Optimization
- Automate Adjustments & Routing
- Quality Audit Automation
- Reduce Claim Adjustment Rates
- Inventory Dashboards
- Claims Testing
- Benefits Configuration
- BPA Conversion and Optimization
- Workflow Configuration
- Configuration Data Cleanup
- PCA Configuration
- Authorization/Referral Configuration
- Change Management
- Leadership and Support Models
- Centers of Excellence
- Claims
- Configuration
A DEDICATED TEAM OF EXPERTS
360+ years of Healthcare Payer experience across domains
Collaborate, Innovate, Drive, Serve, and Grow – the values we embody with our colleagues and partners
Client-obsessed to provide quality outcomes and improved, measurable results
Immersive partnerships with dozens of industry-leading vendors