Business Intelligence & Big Data

Big data analysis, Business Intelligence (BI) and Artificial Intelligence (AI) are critical to the success of today’s Payer organization.  Access to data across dashboards, reports and identification of unknown patterns assists a healthplan in reducing costs, running the business efficiently and serving their membership.  Our track record of delivering meaningful business intelligence, dashboards, data warehouses, and other tools for our clients has helped ensure their competitiveness and success.

Project Management & PMO Services

Effective project management is essential to any successful implementation. Our Project Managers are very experienced with large project management, PMO setup, and will tightly manage your projects while mitigating risks.

  • Program / Project Management
  • Strategy and Implementation Planning
  • Assessments for Implementation or Upgrade Projects

IT Architecture, Development & QA

Our team has a broad background in IT Architecture and development – systems, software, technology – and in-depth knowledge of the healthcare industry to help you design and implement the optimal architecture for your solution.  Our Quality Assurance (QA) and Testing experience will put you on the right track to meet your performance and quality goals.

  • Architecture Analysis, Design and Development
  • Software – Custom and Off-the-Shelf
  • Code Review and Management
  • Change and Release Management
  • Environment Build and Management
  • Performance Tuning and Capacity Planning
  • Quality Assurance Automation

Facets Configuration and Claims Processing

Our Facets configuration and claims processing team is highly trained and deeply experienced in the Facets family of health insurance claims administration solutions. Our consultants have an average of over 14 years of Facets experience and have led and participated in over 50 Facets implementation, upgrade, and optimization projects.
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  • Application Development & Hosting
  • Architecture / Infrastructure
  • Business Process Improvement
  • Configuration
  • Data Conversion
  • Database Development / Reporting
  • EDI
  • Environment Management
  • Multi-Year Application Support
  • Performance Tuning & Capacity Planning
  • QA / Testing
  • Technical Troubleshooting
  • Training
  • Workflow

Payer IT Operations

Our staff is ITIL trained and can help your IT staff establish a high performing IT operations team.  With decades of experience managing System Administrators, DBA’s, Application Administrators, Batch Processing staff, NOC’s, and Help Desk, our team can implement robust solutions to keep your solution operating effectively for your business.
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  • Change Management
  • Release Management
  • Service Management 
  • Performance and Uptime Monitoring
  • Productivity and Performance Metrics
  • Patch and solution upgrade analysis and planning
  • Batch processing and tuning
  • Incident and Issue Management