Process and System Modernization Consulting

A comprehensive, set of consulting services to help TPAs, payers, and providers through their healthcare digital transformation journey. We work collaboratively with our clients to modernize their enterprise architecture and realign business process to help improve performance, reduce cost, and drive greater stakeholder experiences.

What’s included in Process and System Modernization Consulting

  • Position your business to thrive

    • Operational assessment and remediation
    • Business transformation management
    • System selection and procurement
    • System implementation
    • Enterprise architecture
    • Program/project management
    • Process reengineering and alignment
    • Role-based training
    • Quality assurance and testing

Develop a modern enterprise architectureenabling your healthcare digital transformation

Process and System Modernization Consulting - consultants in a meeting

Leverage our expertise to optimize processes and systems

Access consultants who have managed more than 100 system implementations, and who possess a deep understanding of health plan operations, regulations, and technology. We’ll help assess your current processes and system capabilities to see if you’re maximizing the value of your IT investments to achieve healthcare digital transformation.

Process and System Modernization Consulting - consultant in a meeting

Analysis to help build scalable infrastructure

Develop a modern enterprise infrastructure that can flex to meet your needs, accommodate future change, and help you innovate, solve problems, and take advantage of emerging opportunities in healthcare digital transformation.

Process and System Modernization Consulting - consultants in a meeting

Expertise to help develop your digital health strategy

Create an enterprise architecture that accelerates response to market dynamics, reduces costs, and delivers competitive differentiation. An agile and resilient architecture is essential to meet the needs of our fast-changing industry.

Core Systems

System Vendor NameSystem Name
Cognizant®TriZetto Facets® or QNXT™
EldoradoJavelina, HEALTHpac
Evolent HealthAldera
Health Solutions PlusMediTrac, PerfectClaim™
HealthEdge™HealthRules Payor™
HGS (Hinduja Global Solutions)HGS
HP Enterprise ServicesMetaVance
OracleOracle Health Insurance
Pegasystems Inc.Pega Smart Claims Engine
PH TechPH Tech
PlexisQuantum Choice™
RAM Technologies, Inc.HEALTHsuite®
SKYGENEnterprise System
SS&C Technologies, Inc. (formerly DST Systems, Inc.)AMISYS Advance™, Powerstep, PowerMC, PowerMHC/Comtec
Virtual Benefits Administrator (VBA)VBASoftware, VBAGateway
Visiant (formerly ikaSystems)ikaEnterprise
Xerox / Conduent® Inc.ACS; Aldera

Care Systems

System Vendor NameSystem Name
Altruista  Health®                           GuidingCare®
Cognizant®Trizetto® CareAdvance Enterprise®
Epic SystemsHealthy Planet
EXL ServiceCareRadius®
HealthEdge™HealthRules® CareManager
MHKMHK CareProminence™
PegaPega Care Management
VirtualHealthHELIOS® Care Management

Revenue Cycle/Electronic Health Record Systems

System Vendor NameSystem Name
Allscripts Practice Financial Platform
CernerRevWorks SM
eClinicalWorksRCM Console
Epic Resolute
Greenway GRS SelectTM
MEDITECHExpanse Revenue Cycle

EMR/EHR Products

System Vendor NameSystem Name
AllscriptsAllscripts Professional
eClinicalWorkseClinicalWorks EMR
Epic Epic Care
Evident (CPSI Parent Co.)Thrive EHR
KareoKareo Clincial
NextgenOffice EHR/PM

Resources and Brochures
  • Brochure
    Update Your IT Infrastructure to Support Your Business

    Continuous, rapid change is a hallmark of both the healthcare and IT industries. For payers, medical practices and hospitals, this translates into evolving regulatory, operational, and competitive demands on your IT systems. To meet these challenges, you need an IT infrastructure that can grow and flex, with components that can work together to drive business results.

Our outcomes

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We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.