Improving Processes Easier Said Than Done


Nearly all health plans intend to increase business process automation in the next two years, primarily to decrease errors while increasing productivity, according to a study by First Consulting Group.

The survey of 65 health insurers includes national as well as regional plans ranging in membership from as few as 1,000 to over 3 million. Respondents were primarily CIOs, COOs, and CEOs.

Health plan officials say that they see the most manual inefficiency in product development, sales and marketing, and commissions. That is a shift, the authors say, from the three areas that showed the most manual inefficiency — claims and encounters, customer service and membership, and enrollment.

"Surprisingly claims, customer service, and enrollment are viewed by health plans as having the least amount of unnecessary manual inefficiency, suggesting that health plans must already have targeted those functions with strategies to increase efficiency," the authors note.

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

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