Virtusa / Digital Process Automation / Healthcare BPM
Reimagine patient care with smart workflows and digital process automation solutions

The healthcare industry is on the cusp of a revolution that promises to enhance health outcomes, but only if digital technologies are part of the solution. While healthcare companies grapple with ever-increasing costs, mounting regulatory pressure, and evolving care management practices, they have to focus on reviving outcomes through the intelligent use of digital platforms. Additionally, with EMRs/EHRs being mandated by regulatory authorities, automation and digitization have taken precedence.  All players in the vast and complex healthcare ecosystem have to step up their digitization and digital transformation efforts to remain competitive and provide better health outcomes.

This puts the focus on BPM, Intelligent Automation and Analytics to connect all members of the multi-channel ecosystem to improve member and patient care at a reduced cost of operation.

Optimize processes and respond quickly to changing regulatory requirements, while embracing digital technologies for better health outcomes.

Provider Lifecycle Management

Effectively manage your provider onboarding and data management process, credentialing and contracting process with Virtusa’s Provider Lifecycle Management Solution.

Provider Lifecycle Management

Our solution enables you to ingest data from a variety of sources, drive case management, improve onboarding time within SLA’s, automate functions and reduce operational inefficiencies. We empower you with the right tools to improve the quality of provider data, while enabling value-based collaborations. This is a problem experienced by the entire Payer industry. Our solution will achieve game changing transformation to improve your Provider Network Operations.

Key features

  • Roster and Non-Roster processing
  • SLA based case management
  • Prioritization and auto work assignments
  • Data integrity checks
  • Provider directory update
  • Vendor creation / updating
  • Automation of Credentialing
  • Contract management optimization
  • Audit / review process
  • Analytics

Complaint Management Solution

Our pre-built integration with CMS (Center for Medicare and Medicaid Services) helps Payers resolve complaints efficiently, improve CMS star rating, minimize penalties, and grow membership.

Complaint Management Solution

Our solution provides the foundation to be 100% CMS Complaint Tracking Module (CTM) compliant also. Built on Pega, the solutions and can be self-funded based on the benefits realized to offset penalties associated with CMS performance.

Key features:

  • Contact for information
  • Complaint resolution
  • QA and inform resolution
  • Customer friendly and seamless experience

Sales Automation for Healthcare

Fine-tune your customer acquisition operations to outperform sales and growth targets.

Sales Automation for Healthcare

Virtusa’s solution is built on Pega’s sales automation for healthcare framework. It can be deployed on premise or on -cloud, making it easy to update sales processes, business rules and user-experience across sales, service, channels and markets.

Key features

  • Product affiliation
  • Single product mapping
  • Built upon PRPC 7.1.3 and Virtusa’s framework
  • Quick quote
  • Enhanced plan comparison

Call for care

Virtusa’s Call for Care solution helps drive customer service interactions across multiple customer types (member, provider or provider groups) or healthcare organizations.

Call for care

Our solution helps reduce service costs and improve customer satisfaction through a process-driven approach that helps to resolve customer issues quickly at the point of contact.

Key features

  • Optimized interaction management
  • Usable HIPAA validation screens
  • Intelligent sales and marketing campaigns
  • Real time analytics and dashboards
  • Context sensitive user interface

Contact Us

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Virtusa Corporation
132 Turnpike Road
Suite 300,
Southborough, MA 01772