Health Plans

People, process and technology working together to achieve success

The Affordable Care Act and State Exchanges impact the way our clients are doing business, and we are their go-to resource to navigate this changing healthcare landscape with confidence.

We thrive in the trenches

Our clients look to us first to help with strategy, operational analysis, regulatory compliance, quality programs, technical evaluation and project management.

Through a strong health plan network, FluidEdge has access to a large number of health plan-focused resources with knowledge of many core claims processing systems. Additionally, FluidEdge has key knowledge of provider data management systems and care/medical management systems.

Specific Services

Claims Systems Consulting
  • Trizetto (Facets, QNXT)
  • HealthEdge¬†(HealthRules)
  • Ram Technologies
Care Management Systems Consulting
I.T. Services
  • I.T. Assessment
  • Data Analytics
  • Application/Technical Architecture
  • System Procurement & Implementation
  • Methodology Development
  • Testing
  • Training
  • Provider Data Strategies
Operational Services
  • Assessment & Strategy
  • Workflow Redesign
  • Process Re-engineering
  • Claims, Benefits, Enrollment
  • Process Improvement
  • Managed Care Product Development
  • Customer Service Optimization
Human Capital
  • Interim Executive-level Management
  • Program and Project Management
  • Technical and Business Staff Augmentation