New possibilities for your business

ENGAGE. EXECUTE. TRANSFORM

Execution Partner

Get results for your business by partnering with us.  Sometimes, you just need an extra set of hands, eyes, and ears, and we are here to provide that support.  We have no P&L accounatability and no sales target; our sole purpose is to execute your strategy effectively.  That is our only goal.  We are different.

     Core Platform (TriZetto Facets)

  • Market research and RFP
  • Current state assessment
  • Planning and financial model
  • Vendor and workforce management
  • Execute implementation
  • Solution design and architecture
  • Training and change management
  • Business process development
  • Organization design
  • Design testing strategy
  • Production and operation support

     Provider Data Management

  • Current state assessment
  • Symplr sPayer and sDirectory
  • Data mapping and migration
  • Realtime/batch load to Core System
  • Desk Level Procedure
  • Documentation
  • Process redesign
  • IT controls and governance
  • Vendor and workforce management
  • Data reconciliation
  • Production and operation support

 

     Admin cost reduction - Guaranteed!

  • Claims configuration
  • Utilization
  • Claims auto adjudication
  • Claims processing issues
  • IT and business controls
  • Pre-pay edits
  • Claims edits
  • Claims and auth matching

     Nothing but the data

  • Data migration
  • Cloud migration
  • Master Data Management
  • Data mapping
  • Data Strategy
  • Data governance
  • Data transformation
  • Data analysis