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Case Study

The largest Medicaid managed care organization in the U.S. benefits significantly from our ADM solution

Client Background

The client is the largest Medicaid managed care organization (MCO) in the U.S. that provides families and individuals with access to high-quality healthcare through innovative programs and a wide range of health solutions. The client wanted to implement, automate, and optimize their portfolio of 45 applications. The objective was to improve operational efficiency, reduce ticket influx, optimize cost and free up internal resources for transformation initiatives.

Client Need

  • The client wanted to implement, automate, and optimize an application development management (ADM) solution for FACETS NY. The objective was to improve user experience, reduce ticket influx, and optimize cost.

Our Solution

  • We, at Innova, built the core team from the existing client projects and utilized their knowledge about the company, FACETS, and Claim administration ecosystem to implement the ADM solution. We also set up a dedicated Project Management Office for demand management and skill collaboration. Keeping business as usual running we aimed at delivering both the short-term and long-term goals within 3 years (extendable to 5 years), in three phases—Pre-Transition Assessment, Transition, Stabilization, and Steady State. With the help of a hybrid team consisting of 140 resources at onsite (US), nearshore (Mexico) and offshore (India) we achieved the project objectives.
  • We started with the onboarding of key resources to plan the transition phase, then aimed at getting into a steady state by qualifying through several quality gates. Once we were in a steady state we proactively started working on automation and preventive mechanism to speed up the ADM lifecycle without compromising on quality.

Tools & Technologies

.NET, Java, JavaScript Frameworks, Selenium, CI/CD, Greenplum, IBM, Automic, SAP ASE Sybase, Talend, WebFocus, Denodo, Oracle, SQL Server

Key Benefits

By collaborating with Innova Solutions, the client benefitted in multiple ways. It witnessed:
  • Cost optimization
  • Lesser transition time
  • 10% productivity improvement over the ADM engagement
  • Quick ramp up within a short notice
  • Effective resources deployment, rotations, and retentions
  • Reverse engineering methods that could uncover gaps in the requirement, architecture, and coding style
  • Uninterrupted ADM service delivery in adherence to SLAs and KPIs
Case Study KeyPoints

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