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Recruiting

The Recruiting solution enables health plans to reduce provider recruiting costs through the automation of targeting, outreach and enrollment. Besides workflow automation to streamline the recruiting process, the solution also supports drill-down analytics for targeting and progress monitoring.

Business Challenges:

• New products and geographic expansion is driving recruiting volume
• Paper-based provider outreach and enrollment resulting in high administration costs
• Targeting of providers is informed by access, provider mix, geography and population epidemiology

Key Features:

• Drill-down analytics with geo-mapping support for targeting
• Flexible target list import to enable use of 3rd party provider lists
• Automated creation/distribution of enrollment packages
• Automated tracking of provider correspondence
• Enables online, e-mail, fax, paper and phone correspondence capability
• Rules-based workload balancing for recruiting staff
• Flexible staff assignment (territory, top tier providers, provider specialty, etc.)

Key Benefits:

• Reduced provider recruiting costs
• Increased speed to market of new provider networks/products
• Increased network performance through selective recruiting