Project Management for Core Payer System Implementations
Consulting services during projects to modernize various insurance industry client’s core payer systems. The companies were using outdated and inefficient core payer systems to manage their insurance operations, including: provider management, member management, claims processing, and integration with financial systems. The companies decided to replace their old systems and implement a new core payer system that would improve its business processes, performance, and competitive advantage.
Approach
Dr. Broils guided the companies as they followed a systematic and structured process to select and implement their new core payer system. The processes involved the following steps:
Defined the project objectives, scope, and requirements
Conducted a market research and analysis
Evaluated and selected the best core payer system
Planned and executed the implementation
Tested and validated the core payer system (integration testing, user acceptance testing, and performance testing)
Deployed and launched the new core payer system
The projects were a success, as the companies implemented a new core payer system that improved their business processes, performance, and competitive advantage. The projects also faced some challenges and difficulties but overcame them by working along with Dr. Broils to apply effective solutions and measures. Each of the implementation projects achieved its objectives, delivered its outcomes, and met its expectations. The projects also demonstrated the importance and value of project management for system implementations and provided valuable lessons and insights for future projects.
