Edgewater Technology is working with leading Healthcare payer organizations (both those who provide medical benefits or any type of specialty benefits) who are striving to become more consumer-focused, provide transparency to its internal operations, manage the health information needed by its key constituents (members, employers, providers, brokers, regulators), and transform data into information to improve daily operations, disease management and health outcomes.  We have also assisted organizations in identifying and implementing transactional and operational data quality metrics, business process improvements, and product evaluations for key components of their enterprise technology architecture.

Healthcare payers are facing the challenges of fragmented or inconsistent transactional processing systems, achieving a complete view of the stakeholder, improving processes, and managing various aspects of enterprise performance.  Edgewater offers a full range of technology, Corporate Performance Management (CPM), staff augmentation and business consulting services, from strategy to delivery and implementation.

Due to our unique expertise in processing high volumes of transaction data, Edgewater focuses on the transactional/operational aspect of healthcare – customer service (web, call, IVR), enrollment, claim processing, provider contracting, utilization management, billing to employer groups, etc.  Our transaction processing skill matched with our strategic subject matter expertise and system integration capability, allow us to bring a long-term strategic view filtered through real-world tactical knowledge to any project you may launch.

Edgewater’s approach to solution development includes reviewing the current business environment and leveraging off-the-shelf packages, existing applications and custom integration services where there is a gap. 

We would welcome the opportunity to speak with you more specifically about your needs and potential approaches to introducing value to your organization.  Contact us at 800-410-4014 or via email at makewaves@edgewater.com.