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Chess Game

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

 
Performing Surgery

MEDICARE/ MEDICAID OPERATIONS

Claims, Eligibility, Appeals & Grievances, Coordination of Benefits.

Smiling Businesswoman

MEDICARE/ MEDICAID

CLINICAL OPERATIONS

Utilization/Case Management, Behavioral Health, Pre-Certification, Coverage Determinations.

Chart & Stethoscope

MEDICARE PRODUCTS

Medi-Gap, MA – Part C (MAPD), MA – Part D (PDP), D-SNP, SNP-MOC.

Business Owner

SALES/

RETENTION

Product/Market Expansion (PPO/EGWP/HMO),

Age-In, Member Journey, Go-To-Market

Readiness.

Computer Circuit Board

HEALTHCARE

TECHNOLOGY

Interoperability, HIEs,

Core Admin Platforms,

Provider Data,

Digital,

EHR/EMR.

Law

HEALTHCARE  COMPLIANCE

CMS/HHS/ONC regulations, Star Ratings – HEDIS, CAHPS, HOS.

At the Pharmacy

PHARMACY BENEFIT MANAGEMENT

PBM Migration/Integration

Doctor Using Digital Tablet

SPECIFIC VENDOR SYSTEM EXPERIENCE

Trizetto, HealthEdge, MHK, Arcadia.

Hospital

HOSPITALS AND PROVIDER HEALTHCARE

Ready to begin?

Send us your briefing below, or book a call to discuss your project.