There is a pressing need for healthcare payer solutions to enable Healthcare Payers, Pharmacy Benefit Managers and Third-Party Administrators provide seamless digital healthcare member engagement across platforms and devices, support new product and service offerings, shift towards new market models like value-based payments and adhere to compliance requirements while holding down costs, and improving efficiency. SJM can be your partner in the digital transformation for healthcare journey to reduce costs, maximize efficiency and adapt to an ever-changing regulatory landscape. We help you re-imagine healthcare payer experience while re-engineering business processes, leveraging a unique combination of intelligent healthcare payer automation and digital technologies.
We are a Digital Transformation Partner for a leading US-based Third-Party Administrator and have been able to drive value through digitization and automation-led IT transformation along with RPA-enabled end-to-end BPS support (400+ claims processing specialists managing $1B+ policies with $5B+ payouts). There has been a 30% reduction in manual effort with 99.5% accuracy.