RP Sanjiv Goenka Group
Data, Analytics & AI

Reimagine your health plan operations

Stay future-ready in
every moment

The shift toward a smarter world has no signs of slowing down. From the rapid adoption of telehealth to delivering hyper-personalized, on-demand experiences, healthcare organizations that adopt new digital technologies and automation will keep pace. But to lead the industry, you’ll need to continuously reimagine and optimize how you operate.

We help health plans stay future-ready in every moment by harnessing the power of people-powered data, analytics, and AI-driven operating models. Equipped with smart, responsive solutions, you’ll deliver the personalized, seamless experiences your stakeholders expect today – and keep the lead while those needs change over time. The result? Better experiences and better outcomes across every moment.

Harness the power of data, analytics and AI to stay
ahead of change

AI-First Health Plan Operations

Make informed decisions in real-time. Optimize your
operations for cost, speed and experience.

Personalized Member Engagement

Enable the seamless, personalized care &
experiences health consumers expect.

Financial Analytics & Management

Optimize financial performance while delivering high-
quality care to your members.

  • Risk Adjustment
  • Overpayment Collections
  • Payment Integrity
  • Independent Dispute Resolution

Quality Management, Reporting
and Compliance

Ensure optimal outcomes and regulatory adherence.

  • STAR, HEDIS, CAHPS Tracking and Management
  • Internal and External Reporting
  • Compliance Oversight
  • CMS, State, NCQA, URAC Audit Support

Stay Ahead with Firstsource

  • Reduce administrative cost by
    up to 50%
  • Reduce time to transition by
    up to 50%
  • Accelerate speed to proficiency by
    up to 40%
  • Reduce time to training by
    up to 95%

Explore Insights

The AI-First Health Plan 

The 4Cs of Payer Value Creation Using Generative AI
Identify inefficiencies with an MRI scan of your claims operations
Get More from Health Risk Assessments with Digital
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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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