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Our
Projects

Program and Project Management

  • Program Management of Selling, General, and Administration (SG&A) cost reduction initiative. 

  • Creation of governance structure for PMO and executive leadership. 

  • Oversight of vendor project management tools.

Core System Replacement
  • Oversight and management of multiple Core System Replacement projects to HealthEdge Health Rules Payor.

  • Coordination of Data Migration and Interface strategy solutions. 

  • Facilitation of testing program. (Unit, SIT, and UAT)

Correspondence Architecture
  • Correspondence program redesign utilizing first time integrations between SmartComm and Health Rules Payor 

  • Development of process automation within correspondence program for maximum efficiency 

Technical Enhancement
  • Enterprise Security 

    • Management of thorough risk assessment projects to uncover security weaknesses, to outline solutions. 

  • Infrastructure for Disaster Recovery

    • Perform Infrastructure build out of several multi-regional Data Centers.

  • Customer Service

    • Workforce management for behavioral health call center, IVR, and CTI.​​

  • ICD-10

    • Management of benefit equivalency projects for health plans ranging in size.

 
Government Program Implementation
  • Medicare Gateway

    • Directing implementations for Medicare Gateway projects.

  • ​ACA Individual and SHOP

    • Directing implementations for Individual Enrollment (On/Off Exchange) and SHOP for large health plans.

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