RP Sanjiv Goenka Group
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Health Plans and Healthcare Services
Leader in Healthcare Payer Operations
Everest PEAK Matrix®
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Health Plans and Healthcare Services
Leader in Payer Digital Transformation Services
Rising Star in Payer BPaaS Services
ISG Provider LensTM
Healthcare Digital Services 2021

Health Plans and Healthcare Services

Healthcare solutions for all the moments that matter

Transformative outcomes start here

Health Plans and Healthcare Services

Leader in Payer Digital Transformation Services
Rising Star in Payer BPaaS Services

ISG Provider LensTM
Healthcare Digital Services 2021

Unlock smarter efficiencies and stronger impact in your health plans

When it comes to your work, there are no small priorities or insignificant interactions. Every moment matters.

It’s why we equip you with people-centered, AI-powered processes that reduce time and effort, without compromising personalized service and support. And it’s why our services leverage the power of platforms and technology to enable a simpler, more intelligent and seamless experience. Whether you’re offering members and providers better support or helping them navigate their next, best step, you’ll have the future-ready operating models to keep stakeholders happy today, while future-proofing your health plan for tomorrow.

Stay ahead with Firstsource

55 M

Manual Claims Processed Annually

 

4 M+

Enrollment Process Volumes Processed Annually

 

Solutions across the value chain

touching ~100M

8 M+

Provider Operation Volumes Processed Annually

 

220 M

Claims Data Captured

 

12 M+

Provider & Member Interactions Annually

Outcomes delivered

$1.2 M savings with 27% productivity improvement in Accumulators Reconciliation

$2 M savings by eliminating 19% of duplicate claim volume

Slashed unwanted provider inquiry by 20%, improving member and provider experience

Annualized savings of over
$1 M through reduction of un-processable transactions by over 50%

Savings of $4.8 M due to improved financial accuracy and reduced under/over payment

30 min TAT for Order to Cash process, accelerating sales for suppliers and faster order fulfilment for hospitals

‘60 minutes’ response time for treatment administration up from 15% to 54%

Provider satisfaction scores up from 89% to 95%

Healthcare Analytics

Whether you are looking to contain costs or improve patient engagement and quality of care, analytics plays a vital role in achieving the objectives. Our proven Healthcare Analytics Solutions help you harness vast amounts of data flowing through your organization, enabling insights-driven operations, enhancing efficiencies, and creating clinical and business value.

Intelligent Automation for Health Plans

Upend traditional healthcare delivery with our Intelligent Automation solutions that integrate Robotic Process Automation (RPA) with Artificial Intelligence (AI) to drive unparalleled operational efficiencies, productivity and patient care.

DECX for Healthcare

Impress and delight your members with personalized and contextual services on a channel of their choice using our next-gen Digitally Empowered Customer Experience (DECX). It combines the best of what humans and technology have to offer to deliver the moments that matter across the member lifecycle – eligibility, onboarding, engagement and retention.

Stay ahead with Firstsource

22 Health Plans & Healthcare Services

including 7 of the Top 15

60+ Million

Transactions annually via sympraxis

600+ Million

Pages digitized annually with 350 sort types, including 40 Million claims

The time to prep for a historic redetermination surge is NOW

Enhance member experience and retention through proactive digital engagement

HFS Highlight: Firstsource’s newest partnerships target the patient experience for healthcare clients

whitepaper

Explore insights

Firstsource delivers $20M in annual savings for a PE-backed healthcare organization

No more time to wait: Five steps to take now — maintain continuity of care as Medicaid continuous coverage unwinds

New Wave of Health Insurers Driving Change for Members and Incumbent Plans

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Eddie Monteiro

Eddie is currently Chief Operating Officer at Educational Testing Service (ETS), where he sets and drives the transformation agenda across the company and has responsibility for all technology and operations functions in addition to the College Board, K-12, and teacher licensure businesses. He previously ran business and technology services at Pearson, where he built a global team to enable scalable delivery of enterprise functions. Prior to that, while at IBM, he held several executive leadership roles in the US, Mexico and Brazil across a diverse set of industries and clients.
Geetha Krishnan

Geetha Krishnan

Geetha Krishnan consults with the Indian Institute for Human Settlements in Bangalore as Senior Advisor and Head of Digital Blended Learning, where he spearheads their online learning and continuing education portfolio. Over 25 years, Geetha has played senior roles in diverse sectors such as academia, online learning, and advertising. In his last role as Director – Centre for Executive Education at the Indian School of Business (ISB), Geetha was head of the profit center comprising more than 50 open enrollment and long duration programs and spearheaded ISB’s foray into online learning by enabling their partnership with Coursera.
Susan Aldridge

Susan Aldridge

Dr. Aldridge is an Executive Higher Education Consultant to university presidents and ministers of education regarding business models and technology-enhanced education. She recently retired from Drexel University after serving six years as president of Drexel University Online overseeing more than 125 online programs. During her six-year tenure as President of University of Maryland Global Campus (UMGC), she doubled the university’s enrollment to 97,000 – to become the largest public American university. She also served as Vice Chancellor for Troy University’s Global Campus managing online programs and satellite campuses in 12 countries and 17 states.

Alan Greenberg

Alan Greenberg

Previously Director Apple Education EMEA and APAC, Alan led the team that built Education Podcasting and iTunes U. He has worked on the development of Apple Education mobile strategy, iOS Education APPs, and developed the SEED CSR project in China, a collaboration between Apple, Foxconn, and Pearson. Executive Board of WideCells Group Plc, Group CBDO, and EVP & Founder of Wideacademy; his working contributions include multiple technology engagements providing domain expertise across digital, mobile, brand, scale-up, international business development, and venture capital.

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