Process & System Modernization Consulting

A comprehensive, expert consulting solution for payers who want to update their IT infrastructure to enable it to grow and flex, with components that work together to drive business results.

Develop a Modern Enterprise Architecture

Access consultants who have managed more than 100 system implementations, and who possess a deep understanding of health plan operations, regulations, and technology

Assess your current processes and system capabilities to see if you’re maximizing the value of your IT investments and achieving optimal efficiency

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

Create a blueprint to align future IT purchases to business objectives, enabling you to gain the full value of your investments and meet ongoing administrative, financial, and clinical requirements

Leverage Our Healthcare IT Consulting Expertise

Position Your Business to Thrive

Our Services include: 

  • Operational Assessment and Remediation
  • Business Transformation Management
  • System Selection and Procurement
  • System Implementation
  • Enterprise Architecture
  • Program/Project Management
  • Process Reengineering
  • Role-based Training
  • Quality Assurance

 

Our team has experience integrating, updating, and implementing the following core and care systems:

Core Systems

System Vendor Name System Name
Plexis Quantum Choice™
Cognizant® TriZetto Facets® or QNXT™
SS&C Technologies, Inc. (formerly DST Systems, Inc.) AMISYS Advance™, Powerstep, PowerMC, PowerMHC/Comtec
Eldorado Javelina, HEALTHpac
Epic Tapestry
Evolent Health Aldera
HealthEdge™ HealthRules Payor™
RAM Technologies, Inc. HEALTHsuite®
Visiant (formerly ikaSystems) ikaEnterprise
PH Tech PH Tech
Xerox / Conduent® ACS; Aldera
HP Enterprise Services MetaVance
Health Solutions Plus MediTrac, PerfectClaim™
Pegasystems Inc. Pega Smart Claims Engine
Virtual Benefits Administrator (VBA) VBASoftware, VBAGateway
HGS (Hinduja Global Solutions) HGS
SKYGEN Enterprise System
Oracle Oracle Health Insurance
NASCO NASCO
HealthAxis HealthAxis
Ebix LuminX

Care Systems

System Vendor Name System Name
Altruista GuidingCare
AssureCare MedCompass®
Casenet TruCare
Cognizant® Trizetto® CareAdvance Enterprise®
Epic 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™

Talk to Sales 1-866-873-3813

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