The client is the single largest financial and administrative healthcare network in the United States, reaching approximately 750,000 physicians, 105,000 dentists, 60,000 pharmacies, 5,000 hospitals, 600 vendors, 450 laboratories, and 1,200 government and commercial payers. The client has developed this network of payers and providers over 30 years in the industry, connecting virtually all private and government payers, claim to submit providers and pharmacies in a hybrid cloud-based, user-centric, and secure infrastructure environment.
The client was undergoing a major expansion but was suffering from scalability issues. There was a need to transform the technology landscape, monetize the data, evolve new products, expand the preventive care offerings, strengthen the fraud and risk solutions, and integrate a large acquisition in 12 months to go IPO.
As the company grew by acquisitions, they had silo products, which were never integrated, because of legacy technologies. Their costs were also high and market growth was dependent on platform strategy.
Knowledge base was minimal, with multiple vendors in different geographies providing dispirited services and they were not cloud enabled. They also had multiple applications and licenses for performing the same tasks, that increased their operations costs and caused latency.
With our expertise in digital transformation, we released multiple new products by addressing three areas as mentioned below:
Modernization of core business products into platforms
RPA tools and Innova cognitive framework
Business process optimization
IT Ops automation
Enterprise applications / tools and integrations
Frameworks and methodology
Data warehouse and BI