Network Operations

Network of Providers
Contracting & Credentialing Services
Adequacy Analysis

Claims Administration

Full-Service Claim Administration
Provider Portal

Utilization Management Solutions

Authorization Intake System
Criteria Based Decision Support

Marketing & Sales Services

Agent Training & Appointments
Materials Management
Sales & Production Tracking

Pharmacy

PBM Contracting
Medicare Part D Oversight

Technical Solutions

Health Plan Management System
Data Integration Services

Membership Management

Enrollment Intake & Management
ID Card & Enrollment Material
On-line Enrollment Utility

Finance

GAAP & SAP Accounting
Budgeting / Pro-forma Management

PEO / HR Services

Co-Employer Administration & Consulting
Recruiting & Talent Management Support

Communications Center

Member & Provider Services
Member Satisfaction Tracking
Provider Outreach Services

Care & Quality Applications

Risk / Care / HEDIS Management
HRA & Care Plan Operations

Professional Services

Organization Level Strategic Planning
Large Scale Project Management