Process & System Modernization Consulting

A comprehensive, expert consulting solution for payers and providers who want to update their IT infrastructure to enable it to grow and flex, with components that work together to drive business results.


Developa Modern Enterprise Architecture

  • Access consultants who have managed more than 100 system implementations, and who possess a deep understanding of health plan operations, regulations, and technology
  • Develop a modern enterprise infrastructure that can flex to meet your needs, accommodate future change, and help you innovate, solve problems, and take advantage of emerging opportunities
  • Assess your current processes and system capabilities to see if you’re maximizing the value of your IT investments and achieving optimal efficiency
  • Create a blueprint to align future IT purchases to business objectives, enabling you to gain the full value of your investments and meet ongoing administrative, financial, and clinical requirements

Leverage Our Healthcare IT Consulting Expertise

  • Position Your Business to Thrive

    Our Services include: 

    • Operational Assessment and Remediation
    • Business Transformation Management
    • System Selection and Procurement
    • System Implementation
    • Enterprise Architecture
    • Program/Project Management
    • Process Reengineering
    • Role-based Training
    • Quality Assurance
    • Provider/Hospital End-to-End Revenue Cycle Management 
    • Provider/Hospital Transformation Services

Core Systems

System Vendor NameSystem Name
Cognizant®TriZetto Facets® or QNXT™
EldoradoJavelina, HEALTHpac
Evolent HealthAldera
Health Solutions PlusMediTrac, PerfectClaim™
HealthEdge™HealthRules Payor™
HGS (Hinduja Global Solutions)HGS
HP Enterprise ServicesMetaVance
OracleOracle Health Insurance
Pegasystems Inc.Pega Smart Claims Engine
PH TechPH Tech
PlexisQuantum Choice™
RAM Technologies, Inc.HEALTHsuite®
SKYGENEnterprise System
SS&C Technologies, Inc. (formerly DST Systems, Inc.)AMISYS Advance™, Powerstep, PowerMC, PowerMHC/Comtec
Virtual Benefits Administrator (VBA)VBASoftware, VBAGateway
Visiant (formerly ikaSystems)ikaEnterprise
Xerox / Conduent® Inc.ACS; Aldera

Care Systems

System Vendor NameSystem Name
Altruista  Health®                           GuidingCare®
Cognizant®Trizetto® CareAdvance Enterprise®
Epic SystemsHealthy Planet
EXL ServiceCareRadius®
HealthEdge™HealthRules® CareManager
MHKMHK CareProminence™
PegaPega Care Management
VirtualHealthHELIOS® Care Management

Revenue Cycle/Electronic Health Record Systems

System Vendor NameSystem Name
Allscripts Practice Financial Platform
CernerRevWorks SM
eClinicalWorksRCM Console
Epic Resolute
Greenway GRS SelectTM
MEDITECHExpanse Revenue Cycle

EMR/EHR Products

System Vendor NameSystem Name
AllscriptsAllscripts Professional
eClinicalWorkseClinicalWorks EMR
Epic Epic Care
Evident (CPSI Parent Co.)Thrive EHR
KareoKareo Clincial
NextgenOffice EHR/PM

Our outcomes

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