We are a leading, global provider of consulting, business process, technology, and outsourcing services to national, regional and Blue Cross Blue Shield health plans.
We deliver measurable performance improvement using a pragmatic approach to managing change through systems implementations, process
improvement, business process outsourcing, or IT outsourcing.
With the increasing cost pressures facing the industry, we have responded with an innovative global delivery model specifically designed to provide unparalleled service at the lowest possible cost. Our model uses a strategic and variable combination of on-site and off-site resources, onshore and offshore labor, and dedicated teams of experienced managers supported by a cost-effective workforce. Learn more about our global delivery capabilities
Services Offerings
Application Services
We have successfully implemented major packaged applications for over 30 health plans. We are viewed as a market leader, combining deep health plan domain knowledge with software, package knowledge, business process design skills, and project management.
Integration Services
We provide blended shore application development, application management, data warehouse development, enterprise integration services, and enterprise architecture. Our success is based on implementing these custom applications by leveraging business process and project management capabilities.
Business Process Services
We can help you automate your business processes, assess and improve your operations, implement new systems and locate cost-effective resources. Our business process services are focused on helping our clients achieve business results more quickly.
FirstPortfolio™
We help health plans achieve measurable, sustainable results through the selection, implementation and maintenance of optimal technology solutions. We blend our knowledge and understanding of technology, IT architectures, and application development life cycles with our extensive experience assisting health plans efficiently and effectively address their unique business needs through technology. We help clients minimize their risks while maximizing their return on investment. Working with us, health plans gain a partner that allows them to leverage existing technology environments while making the most of proven and emerging technologies and products.
We offer an end-to-end outsourcing solution, as well as point solutions that can alleviate the ongoing challenges of Medicare product operations, allowing your staff to focus on areas of core competency. Our Medicare Part D Business Process Outsourcing (BPO) solution is a complete set of services for core Part D enrollment, billing, payments and IT outsourced operations. Our point solutions include eligibility and enrollment processing, premium billing and payment processing, three-way reconciliation, and more.
Outsourcing
More and more health plans are focusing internal staff on mission-critical activities and outsourcing other functions. We provide a customizable blend of outsourced activities, including help desk, desktop, network management, data center hosting, application management, and full IT outsourcing. We can also cost-effectively outsource business functions such as enrollment, claims adjudication, system configuration, and customer service.
Contact us to discuss how our health plan services can help your organization remain competitive.