• Services
  • Industries

  • About us
  • Careers
  • Contact us
en
en
Global(en) Deutsch(de) Svenska(sv) Español(es)
segment

Driving Technology Innovation for Healthcare Payers

  1. Home
  2. Healthcare
  3. Payers
Healthcare

The payer marketplace, like the overall healthcare industry, is undergoing a digital transformation journey. The focus of payers continues to be to improve the health outcomes of its members by providing accessibility to the best and the most affordable care possible.

To deliver on these objectives there is significant transformation, of both business models and technology capabilities, that is occurring. Payers are focusing on the continued move from fee-for-service models to value-based care models. This is happening across segments - commercial, individual, and government business. There continues to be Payer - Provider - PBM convergence in the marketplace, to integrate capabilities, improve efficiencies and ultimately reduce overall costs. Payers are also continuing to engage in innovative Digital Healthcare Technology. From experimenting with new technologies to significant investments in digital health startups, they are looking to adopt technologies that can provide business value. The healthcare marketplace is also continuing to see an explosive number of vendors attempting to provide solutions for the connected customer experience.

Virtusa is working with the largest payers in the nation to navigate through these challenges and to deliver on their vision for enterprise transformations, digital health innovations, and improving care delivery for its membership.

Innovative Solutions & Services

Provider Lifecycle Management

Virtusa's PLM solution can be built upon leading enterprise BPM and SFA platform capabilities. PLM addresses the many challenges Payers face in Prospecting, Contracting, Onboarding, Credentialing, Pricing Configuration and Servicing for Providers.

Patient Contact Center

Virtusa’s Patient Contact Center Solution is a Customer-Centric Engagement Platform that provides a 360-patient view using the latest emerging capabilities around chat bots and robotics, information is easily accessible to CRSs looking to serve patients and other key stakeholders.

HOPE

Leveraging its digital innovation capabilities and coupling them with the features of the IBM Watson Cognitive Platform, Virtusa built HOPE, as an intuitive, integrated, and connected platform powered by artificial intelligence (AI).

Healthcare AnalyticsToAction

Virtusa, in partnership with IBM Watson Health, helps address the changing market conditions with Healthcare AnalyticsToAction‚ a solution that enables companies to use data and analytics in providing value-based care.

Robotic Process Automation

Virtusa’s Robotic Process Automation solutions align digital workers with your knowledge workers to significantly reduce costs while improving satisfaction from providers, members and third parties.

Digital Asset Management

Virtusa, in collaboration with leading enterprise content management partners, strengthens your brand by accelerating adoption of AEM Assets. We bring the power of AI to assets with the Adobe Sensei’s smart tagging, which augments search capabilities of AEM by automatically adding relevant tags to assets.

Healthcare AnalyticsToAction

Virtusa, in partnership with IBM Watson Health, helps address the changing market conditions with Healthcare AnalyticsToAction‚ a solution that enables companies to use data and analytics in providing value-based care.

Appeals & Grievances Processing

Virtusa’s Pega based A&G solution offers simplified case management, and automated task handling, coupled with AI-based appropriate classifications, that ensure accelerated case resolution.

Population Health Management

Virtusa’s innovative and Unified Health and Wellness solution integrates member data with a robust patient analytics and decisioning platform that creates the right action plans for members and patients.

Cloud Migration Solutions

End-to-end cloud-based service offerings that span the entire software spectrum from assessment, migration, implementation, and integration. We accelerate cloud adoption through domain expertise and strategic partnerships with major cloud providers.

Healthcare Payer Analytics

Our consultative and advisory services help us identify the right business, functional and sub-functional areas for focus, shortlist KPIs, and prepare a detailed future-state functional architecture. Our solution includes five key capabilities to help payers achieve profitable outcomes.

/
Healthcare AnalyticsToAction

Virtusa has partnered with IBM® Watson Health to lead digital transformation in healthcare.

 

Learn more

Find out what Virtusa can do for you

Speak to an expert, request an assessment, demo our solutions.

Contact Us
  1. First Name
  2. Last Name
  3. Job Title
  4. Organization
  5. Email
  6. Phone
  7. Comment or Question
  8. Contact Us
Related content
  • Services

    Consulting & DesignConsulting & Design

    • User Experience & Interface Design
    • Business Consulting
    • IT Strategy & Infrastructure
    • Accelerated Solution Design
    • Operational Process Design
    • Org Change Management

    Digital EngineeringDigital Engineering

    • AI & Machine Learning
    • Analytics, Insights, Data
    • Application Platform Engineering
    • Content & Customer Experience
    • Digital Process Automation
    • Enterprise Applications
    • Industrial IoT
    • xLabs: Innovation Hub

    Cloud TransformationCloud Transformation

    • Cloud Native Engineering
    • Cloud Migration Services
    • Cloud Operate
    • Cloud SaaS
    • Cloud Data & Analytics
    • Cloud Security

    Managed ServicesManaged Services

    • Application Support & Management
    • Infrastructure Management Services
    • Intelligent Engineering Automation
    • Intelligent Process Automation
    • Knowledge Process Outsourcing

    Take the Future Fitness Assessment:
    Cloud Adoption

    Has your organization realized the full potential of the cloud?
    Find out in just a few minutes.

    Start here
  • Industries

    IndustriesIndustries

    • Banking & Financial Services
    • Communications
    • Consumer Packaged Goods
    • Healthcare
    • Life Sciences
    • Information Services
    • Insurance
    • Independent Software Vendors
    • Manufacturing
    • Media & Entertainment
    • Retail
    • Transportation & Logistics
    • Travel & Hospitality

    Virtusa named leader in Pega Services

    PEAK Matrix® Assessment 2021 by Everest Group

    Read report
  • About us

    Who we areWho we are

    • About Virtusa
    • Board of Directors
    • Leadership
    • Corporate citizenship
    • Awards
    • Investor information

    Virtusa Cares

    Our response to the
    COVID-19 pandemic

    Learn more

    Our ApproachOur Approach

    • Digital Transformation Studio
    • Transformation Accelerators

    Our PartnershipsOur Partnerships

    • Adobe
    • AWS
    • Azure
    • Google
    • Pega
    • Salesforce
    • View all partners

    NewsroomNewsroom

    • Press releases
    • Events
    • Media coverage
    • Video hub

    Our Perspectives

    • Articles
    • Tech Talks
    • White papers
    • Webinars
    • More perspectives
    Offices locationsOffices locations

    Offices locations Offices locations

    • AMERICAS
    • EMEA
    • APAC
  • Careers
  • Contact us
  • Popular Searches

      Useful links

      • Contact us
      • Careers
      • Investors
      • News & Events

      Success stories

      More than 200 companies turn to Virtusa to drive their businesses forward in the age of digital transformation

      Learn more
    Follow Us:

    ©2022 Virtusa Corp. All rights reserved.

    • Privacy Policy
    • Cookies Policy
    • Terms of Use
    • Compliance
    • Glossary
    Close modal