Our Successes
Background
A major regional healthcare insurance agency was implementing strategic alignment of departments to optimize medical cost ratio and align staffing to industry benchmarks. Departments had to improve efficiencies while establishing significant administrative savings, a major shift in philosophy as historically the company favored service to the community by employing more local talent.
Most employees had been with the organization for decades, exhibiting complacency and making moderate improvements. Due to the large number of employees, efficiencies and review of processes was uncommon, thereby, leading to significant waste and manual processes.
The Needs
A complete paradigm shift was in order including culture, strategy, workflow, systems, training, and metrics. The company held the strategy to significantly reduce overall costs within six months.
The Results
A collaboration with senior leadership led to realigning change management solutions and addressing the change in culture, reviewing of end-to-end workflows, training provisions, and the development of training for staff in new process and tools.
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Administrative savings of 43%.
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Increased team throughput by 120%.
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Implemented career paths.
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Increased team morale.
Services Rendered
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Team Optimization
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Career Paths
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Change Management
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Workflow Evaluation
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Project Management
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Lean Six Sigma
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Sponsorship
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Strategic Alignment
More Case Studies

Process Optimization
Senior leadership was getting complaints about the credentialing and recredentialing of the providers within their network…

Change Management
An enterprise covered multiple locations across three states. Historical information identified that the organization was losing millions…

Process Overhaul
A healthcare insurer was responsible for processing over 3 millions claims annually. The majority of claims were adjudicated and a significant…