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Putting it all together -
means executing on the
details, maintaining compliance, and managing to key
performance metrics. ACG can support assessment of current strategy, project manage initiatives to improve performance, reengineer systems and business processes, and support roll out of new programs.
Information Systems
Configuration and
implementation, audit methods, conversion planning
and conversion project management,
data migration, data warehouse design and implementation
and outsourcing
Claims and Enrollment
Business processes,
staffing, audit and workflow enhancement, policy
development, COB, operations center consolidation
Medical Management
Provider credentialing, UM program
design, workflows and policies, QA program assessment,
design and implementation, NCQA review
Member Services / Call Centers
Call center operations, training material
development, staffing, appeals and grievance tracking,
monitoring and resolution
Finance
Historic cost analysis, IBNR analysis, budgeting, revenue
and cost forecasting, reserve analysis, risk based
capital forecasts, reinsurance analysis, internal audit
measures, feasibility studies, financing negotiation
support
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