Payers

August 18, 2018

With newly emerging care and payment models, incentive realignment, the growth of online insurance exchanges and the rise of consumerism—change is constant and often complex.
Team support needed for clients thereby helping payers achieve new levels of productivity, while harnessing the power of new digital business capabilities to enrich the consumer experience and drive better outcomes.

Abilities

 Consulting

From strategy and planning to implementation and optimization, team should help to adopt new business models, seize new market opportunities and enable technology innovation.

  • Consumerism
  • Integrated Health Management
  • Health Intelligence & Analytics
  • Operational Improvement
  • Regulatory Compliance
  • Investigative Services
  • Digital Transformation

 Software & Tools

To ensure that you can effectively streamline processes, increase administrative efficiencies, support multiple lines of business and stay in regulatory compliance, team should have a full suite of software and tools to help you automate processes and support connectivity between payers, providers, members and employers.

  • Core Administration
  • Provider Network Management
  • Care Management
  • Medicare/Medicaid/Duals
  • Connectivity & Automation Tools

 IT Services

Increasing agility and speed to generate value could mean migrating systems, upgrading existing applications and hardware or deploying new platforms or other critical services. Need a comprehensive portfolio of IT and systems integration services, including:

  • Systems Integration
  • Configuration
  • Program Management
  • Migration
  • Requirements
  • Portals
  • Testing

 Business Process Services

Industry‑specific business process expertise can help redirect and refocus valuable resources giving the financial flexibility required to focus on core competencies and innovate for the future.

  • Configuration
  • Front-end Processing
  • Claims Administration
  • Enrollment
  • Billing
  • Customer Service
  • Intelligent Process Automation
  • Global Clinical Services
  • Credentialing

 Infrastructure Services

Team need to assess, design, build and manage a flexible IT environment.

  • Availability Services
  • Productivity Services
  • Connectivity Services
  • Business Cloud Solutions
  • Data Management Services
  • Integrated Value Management
  • Application Management

 Next Generation Technologies

Services and solutions that enable organizations to create new business models and build the foundational infrastructure necessary to power digital success.

  • Social
  • Mobile
  • Analytics
  • Cloud
  • Intelligent Process Automation
  • Digital Transformation

Leave a Reply

Your email address will not be published. Required fields are marked *

Contact Us
close slider

Call: 704-332-8422 | Fax: 704-332-8421