Health Insurers

Our team provides services across the entire project lifecycle in order to deliver systems that fit our client’s needs.

»	eBusiness applications for brokers, providers, employers, and members

Design and delivery of custom small group and individual product systems, including quoting, enrollment, renewals, broker commissions, integration with legacy systems

»	Quoting and underwriting systems design and implementation for launch of new individual insurance product

»	Design, delivery and hosting of a physician and facility credentialing system for a national insurer, enabling our client to resell credentialing data to third parties

»	Design and implementation of broker commission systems

»	Project management of disease management vendor solutions (predictive modeling, behavioral health, radiology utilization)

»	HIPAA PMO design and compliance projects

»	Operations assessments

»	Decision support systems

»	Design, development and PMO support for hospital and physician pay-for-performance programs

»	Planning and project management of systems conversion projects

»	Analysis of provider contracting/reimbursement issues

»	Conversion of underwriting spreadsheet to Web service

»	Conversion of 1,000 programs to current Oracle technology, program management assistance in major systems transformation

»	Post-acquisition integration including sales and marketing integration, claims re-pricing, network and contract rationalization

»	Documented process flows and information management in the Health Care Economics area, including predictive modeling, cost of care analysis, and enterprise reporting

»	Requirements definition, planning and testing of systems that support the processing for 20+ state health reinsurance pools