Process and System Modernization Consulting

A comprehensive, set of consulting services to help 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

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.

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.

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 Name System Name
Cognizant® TriZetto Facets® or QNXT™
Ebix LuminX
Eldorado Javelina, HEALTHpac
Epic Tapestry
Evolent Health Aldera
Health Solutions Plus MediTrac, PerfectClaim™
HealthAxis HealthAxis
HealthEdge™ HealthRules Payor™
HGS (Hinduja Global Solutions) HGS
HP Enterprise Services MetaVance
Oracle Oracle Health Insurance
Pegasystems Inc. Pega Smart Claims Engine
PH Tech PH Tech
Plexis Quantum Choice™
RAM Technologies, Inc. HEALTHsuite®
SKYGEN Enterprise 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 Name System Name
Altruista  Health®                            GuidingCare®
AssureCare® MedCompass
Casenet® TruCare®
Cognizant® Trizetto® CareAdvance Enterprise®
Epic Systems Healthy Planet
EXL Service CareRadius®
HealthEdge™ HealthRules® CareManager
HMS® Essette
Medecision Aerial™
MHK MHK CareProminence™
Pega Pega Care Management
VirtualHealth HELIOS® Care Management
ZeOmega Jiva™

Revenue Cycle/Electronic Health Record Systems

System Vendor Name System Name
Allscripts  Practice Financial Platform
Athenahealth athenaIDX
Cerner RevWorks SM
eClinicalWorks RCM Console
Epic  Resolute
Greenway  GRS SelectTM
MEDITECH Expanse Revenue Cycle

EMR/EHR Products

System Vendor Name System Name
Allscripts Allscripts Professional
Athenahealth athenaNet
Cerner Millenium
eClinicalWorks eClinicalWorks EMR
Epic  Epic Care
Evident (CPSI Parent Co.) Thrive EHR
Greenway INtergy
Kareo Kareo Clincial
Nextgen Office 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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Together, we are accelerating the journey toward improved lives and healthier communities.