Select Page
Many healthcare organizations have adopted cloud solutions to find cost savings and efficiencies, but also to improve services and how they engage with patients. However, to stay in front of a rapidly changing industry, healthcare organizations require advice and solutions they can trust.

For over 15 years, Speridian’s Healthcare Practice has helped customers build future-ready digital healthcare organizations with our proven technological expertise and experience in the healthcare industry. By leveraging our innovative solutions, healthcare organizations can execute a digital front door strategy that personalizes the customer experience at every touchpoint yet helps them remain agile and responsive to unforeseen challenges.

Our Healthcare Services

Our Services

Payer Solutions

Innovative front-office solutions supporting Carriers, Brokers, and Employer groups with everything from Product Libraries and CRM solutioning to shopping and enrollment platforms, private exchanges, and member portals, along with integration APIs and prebuilt accelerators for nearly all of the market-leading claims platforms.

In addition to this, we offer a comprehensive suite of services:

  • Complete personalized experience covering Marketing, Sales, Member Services, Customer Care
  • End-to-End Quote to Card (product configuration & management, shopping, custom plans, eligibility, enrollment, renewals) for all channels and all lines of business
  • Carrier Portals with guided assistance for consumers (individuals and employer groups) and brokers
  • Solutioning for all lines of business: IU65, Small, Mid, and Large Groups, including IFP, Medicare, and Self- Funded
  • Modernized portals and mobility for members, brokers, groups, and providers
  • Billing & Payment
  • Incentive Compensation
  • Membership and Payment Reconciliation with FFM
  • Predictive & Prescriptive Analytics

 

4
5

Provider Solutions

For decades, Speridian has provided value to the leading Providers, by developing, maintaining, and supporting flexible and customized applications that transform the patient experience and deliver efficiency in revenue and cost management.

We offer comprehensive solutions leveraging the latest NextGen technologies for:

  • Referral Lifecycle Management
  • Physician Liaison
  • Work process aggregation and automation addressing Physician Burnout
  • Intelligent Document Intake and handling Patient 360
  • Predictive Analytics and Dashboarding
  • Chat Bots
  • EMR Integration and Calendaring

4
5

(State-based and Federal Marketplace)

We help public sector agencies become more customer-centric and data-driven with our innovative solutions, and enable healthcare companies to expand their reach by connecting with exchanges. We ensure a seamless integration, interoperability, and smooth transition.

Our services include design and implementation of:

  • CMS Certification and EDE on-exchange integration and operationalization
  • Integrated Call Center and Case Management Solutions
  • Governance & Project Management Services
  • External and internal interfaces

 

4
5

Speridian Benefits

Bolster reactive and proactive engagement with customers and other stakeholders

Individualize customer experience using best-in-class technologies and practices
Monitor customers with a 360-degree view to provide timely recommendations and interventions
Effective decision-making supported by intuitive and insightful advanced analytics
Consolidate and streamline the technology landscape with flexible and customizable solutions to fit specific healthcare industry needs
Achieve better operational efficiencies and reduce overheads with automation and optimization
SOME OF OUR CUSTOMERS

PAYERS

PROVIDERS

EXCHANGES

Healthcare in Action

Insights

A Northeast Healthcare Insurer Elevates Customer Relationship Management with Salesforce Lightning
A Northeast Healthcare Insurer Elevates Customer Relationship Management with Salesforce Lightning

Our client is a not-for-profit organization that provides a range of health insurance and related products to more than 365,000 members primarily in western New York.

Read more
<
=

Let’s work together on enabling better patient care through digital transformation.