EXPERTISE
Our consultants have deep specialist knowledge and are hand picked for their experience executing strategy.
Our business and IT Practitioners are experts in Project and Program management, Change Management and Transformation, Operational Excellence, and Solution, Technical, & Enterprise Architecture. But not only that, we can connect you with consultants who have delivered healthcare projects just like yours.
We can help turn your strategic goals into reality. Let us know your ambition
and we will help you get there.
EXECUTION CONSULTANCY
MEDICARE/ MEDICAID OPERATIONS
Claims, Eligibility, Appeals & Grievances, Coordination of Benefits.
MEDICARE/ MEDICAID
CLINICAL OPERATIONS
Utilization/Case Management, Behavioral Health, Pre-Certification, Coverage Determinations.
MEDICARE PRODUCTS
Medi-Gap, MA – Part C (MAPD), MA – Part D (PDP), D-SNP, SNP-MOC.
SALES/
RETENTION
Product/Market Expansion (PPO/EGWP/HMO),
Age-In, Member Journey, Go-To-Market
Readiness.
HEALTHCARE
TECHNOLOGY
Interoperability, HIEs,
Core Admin Platforms,
Provider Data,
Digital,
EHR/EMR.
HEALTHCARE COMPLIANCE
CMS/HHS/ONC regulations, Star Ratings – HEDIS, CAHPS, HOS.
PHARMACY BENEFIT MANAGEMENT
PBM Migration/Integration
SPECIFIC VENDOR SYSTEM EXPERIENCE
Trizetto, HealthEdge, MHK, Arcadia.
HOSPITALS AND PROVIDER HEALTHCARE