Virtusa’s PLM solution is built on Pega’s industry-leading Pega 7 platform and healthcare industry framework. PLM addresses the many challenges payers face in prospecting, contracting, onboarding, credentialing, pricing configuration and servicing for providers.
Robotic automation: The PLM platform uses Pega’s market-leading Robotic capabilities, which significantly automate process including credentialing, and limit human intervention.
Pre-built integrations: The PLM platform has pre-built integrators for internal and external sources. Organizations looking for external sources of provider data can use the integration to import a large quantity of data elements from the Council for Affordable Quality Healthcare (CAQH).
Interactive dashboards and reporting: The PLM platform provides users a clear view into their most critical cases, work items, and performance reports with interactive dashboards that deliver a rich user experience.
Automated roster file management: The PLM platform enables payers to consistently process roster data in bulk from multiple sources. The solution standardizes the complex processes involved in the accurate intake, formatting, transformation, and loading of data from multiple provider organizations to downstream systems.
Intelligent workflow management: The PLM platform is built on leading enterprise business process management (BPM) and sales force automation (SFA) platforms that empower organizations to manage multidepartmental workflows and complex provider data structures.
Digital enablement: The PLM platform can be used to drive the digital transformation of providers and network management organizations.
Learn more about Provider Lifecycle Management (PLM)