Innovation is nothing new to us
Developing innovative technology solutions is a large part of what we do.聽 Our technology staff consists of >500 full-time employees with 60% having more than 5 years of tenure with the Company. It is because of our dedicated and talented technology professionals that we are able to deliver success for our clients.
Success through innovation
Machine Learning
Pilot programs focused on enhancing our claims review processes to ensure maximum savings possible
Blockchain
We remain focused on improving provider data quality in healthcare through participation in healthcare provider data pilot programs
Custom Solutions
Offering industry-leading custom built, ever-evolving waste and abuse detection systems and out-of-network provider claims review services
Expertise
Agile-focused technology staff working to support enterprise and custom tools and innovative solutions for our payor clients
Data Processing
With access to over 3 petabytes of structured data and 12 petabytes of total structured and unstructured data, we are able to support the 500,000+ claims processed every day
Awards, accreditations and programs
野花社区 remains committed to excelling in data security and innovations. Our highest priority for our clients is to ensure data is maintained with the highest level of security possible.
MedTech Breakthrough Award
野花社区 received the 2023 鈥淏est Healthcare InsurTech Solution Provider鈥� MedTech Breakthrough Award. Our Dynamic Negotiation Offer solution was selected for its advanced abilities to deliver intelligent offer automation for specific subsets of claims.
HITRUST Risk-based, 2-year (r2)
This certified status demonstrates that 野花社区鈥檚 data transmission and service portal applications have met key information security regulations and industry-defined requirements and that 野花社区 is appropriately managing risk. 野花社区 has achieved this 2-year certification in 2018, 2020 and 2022. This achievement places 野花社区 in an elite group of organizations worldwide that have earned this certification.
BitSight IT Security Rating Organization
BitSight helps organizations like 野花社区 take a risk-based, outcome-driven approach to managing the performance of the organization鈥檚 cybersecurity program. 野花社区 continues to be rated at the top of our peer group. 野花社区 compares its profile to the industry on a monthly basis. 野花社区 has consistently been rated above the healthcare/wellness overall industry scores.聽
CIO 100 Award
The CIO 100 awards specifically recognized 野花社区 for its negotiation prioritization project that implemented advanced machine learning techniques to streamline this high-touch area of its business, generating greater customer value while improving workflow, efficiency and increasing ROI for 野花社区. The project team optimized the machine learning effort with a set of complex business rules unique to the company and its customers.
Data Breakthrough Award Winner鈥�
野花社区 was specifically recognized for its negotiation prioritization tool that helps its claims negotiators quickly identify the next best claim to work, leading to greater savings for customers and increased throughput for negotiators.
野花社区 ACTS
A culture of inclusion, respect and continuous innovation through adherence to our four shared values that together form the foundation of 野花社区 ACTS. We recognize and celebrate that our employees drive our technology success. We partner to deliver innovative, stable and secure solutions that drive value for 野花社区 and its clients.
Synaptic Health Alliance
野花社区 works with industry leading healthcare firms to help advance the transmission of data through allocation modeled blockchain efforts. As a founding member of the alliance, 野花社区 serves a vital part in solving the accurate provider data industry problem among other pilot programs.
Technology Leadership Program
野花社区鈥檚 Technology Leadership Program (TLP) enriches recent college graduates鈥� education with intensive real-world experience as they rotate through a variety of specialized areas within our IT department. By working closely with their mentors in a three-year program, our TLP associates are able to realize where their greatest interests lie and are set on a course for career success.
Our culture
A culture of innovation starts with the desire for continuous improvement 鈥� to deliver technology every day that is better than the day before. We seek out employees with a curiosity for innovation and the desire to be at the forefront of change. Our vision is one of collaboration where we work together to challenge the status quo and embrace innovative technology and processes with like-minded people.
