Bringing excellence to every aspect of your
implementation from enrollment to claims payment
In consideration of reduced premiums, member and provider engagement, collaboration initiatives and fierce market competition – achieving quality improvement and risk score accuracy has never been more critical to health plan competitiveness and viability.
At Gorman Health Group, we maintain the country’s largest staff of senior operations consultants. Our team assists dozens of health plans every year in scrubbing their member data and can translate your business strategies into practical, efficient and rigorous work processes with the highest degree of compliance and accountability. Our exposure to so many health care organizations every year means that we have worked with virtually every software or service vendor in the space and can share with you procedural practices and audit metrics ensuring workflows are best in-class.