Client

A non-profit healthcare payer

Background

EXL had previously assisted the client with a provider data management solution for a provider group incentive program. The client wished to build upon the success of that engagement.

Challenge

This second engagement was designed to transform the remaining manual data processing into a selfservice, technology-enabled process, improving quality and increasing reliability.

This would enable the current incentive program and support a new PPO product in development.

EXL Consulting Solution

EXL created a phased project roadmap, current and future state process flow models, business requirements and system analysis requirements with complete traceability from business objectives to detailed test cases.

The provider group incentive program team productivity continued to increase through the phased implementation of the project, despite a significant change to business operations and multiple project dependencies.

Results

  • Reduced resource cost of data management by 25% within first six months
  • Cost reduction expected to approach 50% by the end of the second year
  • Enabled a new PPO product

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