Healthcare Payers

Healthcare Industry - Payers


Evolving access to care and alternative payment models, new approaches being taken by Accountable Care Organizations, and the implications of legislation such as the Medicare Access and CHIP Reauthorization Act (MACRA), are all forcing payers to fundamentally rethink reimbursement models. At the same time, data security – particularly around Patient Health Information (PHI) – continues to be a top priority.

In this rapidly changing environment, systems, processes and skill sets must enable and support nimble and responsive business operations.

Overview

Softtek recognizes the complexities of different business processes affecting payers such as claim processing member management, data management and provider management. Utilizing emergent technologies such as Robotic Process Automation (RPA) coupled with Artificial Intelligence (AI) Techniques can provide necessary relief to the pressures of these new complexities.

Softtek Service Value

We transform, integrate and manage complex technology domains, equipping our clients with a secured optimized foundation of platform stability, data analytics and automation-enabled service delivery. We help payers deploy digital strategies that streamline back office processes to increase both the yield and accuracy of said back office processes.

Industry Opportunities

DIGITALIZING PATIENT EXPERIENCE

  • EHR Support & Configuration
  • API Management
  • TechnologyExpertise (AI,AR/VR, Mobile, IoT)
  • Hospital Management System Support & Configuration

CREATING A HIGH PERFORMANCE HEALTHCARE BACK OFFICE

  • Procurement Services & Solutions
  • RPA Transformation-AP/AR & Financial Processes

MINIMIZING FINANCIALLIABILITY DUE TO RISK

  • PHI Protection
  • GRC Solutions
  • HIPPA Management & Compliance
  • Compliance Adherence

EXPEDITING REGULATORY CHANGES/MAN DATES

  • Agile Development
  • Continuous Delivery & DevOps
  • Software Product Development
  • Cloud Migration and Transformation

Why Softtek

Proven Healthcare capabilities Softtek serves some of the world’s largest healthcare companies, helping them execute timely solutions that meet changing industry demands.
Collaborative culture New agile and bi-modal approaches require tight collaboration and interaction. Softtek’s company culture is rooted on collaboration and co-creation principles. We act as an extension to our client’s teams, starting with an in depth assessment of the current operating model and tailoring our services and solutions to be aligned to the business priorities.
Geographic coverage Softtek provides comprehensive support across the Americas, from Canada and USA to Argentina and Chile, complemented with delivery from Spain, China and India for global coverage.
Agile with discipline Our process advantage lies in effectively blending strong process maturity with proven agile approaches and principles. From Lean StartUp (Softtek RunLean™) and Design Thinking to DevOps and Scalable Agile frameworks, we make work non-bureaucratic, outcome oriented and flexible. Our intricate knowledge of challenges in securing PHI allow us to tailor individual targeted solutions to clients to mitigate risk.
Technology expertise Since Softtek is agnostic of technology, this positions our teams to be experts in a number of technologies and solutions. Working with our technology practices we bring innovation to everyday experiences. Our CoEs include experts and knowledge across emerging technologies including: IoT, mobile, AR/VR, beacons/sensors, Cloud, Machine Learning/AI, among others.
IT operations leadership Softtek operates and evolves complex application portfolios and service requirements for a diversity of industries, from one of the world’s best airlines to nuclear energy companies, to a global manufacturer of medical devices and medical consumables logistics.

Contact Us

 
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