Deliver High-Quality IT Projects and Business Services

Our highly skilled resources support payers, their complex IT initiatives and their evolving business needs.

The search for synergy and continuity in business and technology initiatives is a critical success factor for healthcare payers. Payers need a trusted partner that has highly skilled resources who have extensive health plan business and IT experience, including claims, and membership and billing systems knowledge, and who can perform specific roles and functions on the payer’s behalf — in the most optimal way.

Payer Staffing
Solutions ensures that healthcare payers have smooth and successful outcomes related to their IT projects and business engagements. Our highly skilled resources perform and manage the delivery of services for payers, ensuring successful outcomes. We support payer efforts by maximizing operating efficiencies, implementing cost-savings initiatives, controlling operational costs and enhancing platform and legacy systems to meet business goals and member needs.

We provide payers with highly skilled business and IT resources, such as business and systems analysts, certified project and program managers, database architects, security analysts and much more. Our knowledge, experience, skills and subject matter expertise enables our resources to perform functions at an enhanced level and support payer needs with system enhancements and product or system implementations.

In today’s healthcare world, speed matters. The sourcing, training and onboarding process for new resources requires significant time and inflated costs. Our experienced resources integrate quickly and ensure smooth business operations and continuity. Our detailed, intrinsic knowledge of payer systems and processes enables onboarding acceleration. Reducing ramp-up time by engaging resources with the right skills and experience can quickly affect a payer’s administrative, operational and project costs.

Alternative options simply cannot match the effectiveness of NASCO’s Payer Staffing Solutions when it comes to providing health plans with highly skilled resources to support their IT initiatives and business engagements.

supported products & solutions

We provide payers with highly skilled business and IT resources, such as business and systems analysts, certified project and program managers, database architects, security analysts and much more. Our knowledge, experience, skills and subject matter expertise enables our resources to perform functions at an enhanced level and support payer needs with system enhancements and product or system implementations.

In today’s healthcare world, speed matters. The sourcing, training and onboarding process for new resources requires significant time and inflated costs. Our experienced resources integrate quickly and ensure smooth business operations and continuity. Our detailed, intrinsic knowledge of payer systems and processes enables onboarding acceleration. Reducing ramp-up time by engaging resources with the right skills and experience can quickly affect a payer’s administrative, operational and project costs.

Alternative options simply cannot match the effectiveness of NASCO’s Payer Staffing Solutions when it comes to providing health plans with highly skilled resources to support their IT initiatives and business engagements.

Claims products, Claims Editing & Auditing solutions, Membership & Billing products, Pricing products, Provider Reimbursement products, Utilization Review and Management solutions, Capitated products, HIPAA & EDI Standards, Inter-Plan Teleprocessing Services (ITS), PBM Integration, Medical Policy & Administration, Security Configurations, Federal & State Mandates.

Business Analysis Resource Services

  • Perform research and analysis to assess customer needs
  • Provide knowledgeable resources to Plans
  • Produce business process flows
  • Solicit and produce business requirements artifacts using best-in-class methodologies
  • Support the testing process by performing validation (artifacts, data and defect resolution)
  • Validate solution post-production
  • Troubleshoot and perform initial production support triage
  • Provide quality oversight and governances to ensure successful delivery

Project and Program Management Resource Services

  • Oversee all aspects of a program/project
  • Liaise with Plan and all NASCO product and service teams
  • Identify and secure required project resources
  • Track, manage and communicate the delivery for system changes
  • Create and maintain project schedule and budget
  • Mitigate project risks and resolve issues to manage delivery expectations
  • Document and communicate project dependencies
  • Maintain all project artifacts
  • Lead project meetings and provide status reporting

Comprehensive Business and IT Resource Services

We provide health plans with a wide array of resources, including, but not limited to:

  • Application Developers
  • Application Support
  • Architects
  • Auditors
  • Business Intelligence (BI)
  • Claims Examiners
  • Data Architects
  • Database Administrators
  • Identity Access Analysts
  • Instructional Designers
  • Release Managers
  • Security Analysts and Operations
  • Technical Writers
  • Technical Consultants
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Our Purpose

    • Optimize Technology
    • Lower Operating Costs
    • Enhance Resource Productivity
    • Increase Member Satisfaction, Engagement, Growth & Retention
    • Enable Revenue Growth
    • Exceed Performance Metrics
    • Improve System Performance
    • Increase Speed to Market for Payer Products

how we can help your plan today?

Payer Staffing Solutions ensures the success of healthcare payers and helps them achieve results that strengthen their positions in their markets.

Find out how we can help your plan today. Contact us to learn more about our Payer Staffing Solutions — the value we deliver to our partners, and the benefits they receive by working with us.