ĤƵ

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Innovation is nothing new to us

Developing innovative technology solutions is a large part of what we do.  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

computer

Machine Learning

Pilot programs focused on enhancing our claims review processes to ensure maximum savings possible

chain

Blockchain

We remain focused on improving provider data quality in healthcare through participation in healthcare provider data pilot programs

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Custom Solutions

Offering industry-leading custom built, ever-evolving waste and abuse detection systems and out-of-network provider claims review services

expertise

Expertise

Agile-focused technology staff working to support enterprise and custom tools and innovative solutions for our payor clients

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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

ĤƵ 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 2023

MedTech Breakthrough Award

ĤƵ received the 2023 “Best Healthcare InsurTech Solution Provider” 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 Certified

HITRUST Risk-based, 2-year (r2)

This certified status demonstrates that ĤƵ’s data transmission and service portal applications have met key information security regulations and industry-defined requirements and that ĤƵ is appropriately managing risk. ĤƵ has achieved this 2-year certification in 2018, 2020 and 2022. This achievement places ĤƵ in an elite group of organizations worldwide that have earned this certification.

BitSight-The Standard in Security Ratings

BitSight IT Security Rating Organization

BitSight helps organizations like ĤƵ take a risk-based, outcome-driven approach to managing the performance of the organization’s cybersecurity program. ĤƵ continues to be rated at the top of our peer group. ĤƵ compares its profile to the industry on a monthly basis. ĤƵ has consistently been rated above the healthcare/wellness overall industry scores. 

CIO100

CIO 100 Award

The CIO 100 awards specifically recognized ĤƵ 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 ĤƵ. 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 2022

Data Breakthrough Award Winner​

ĤƵ 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.

ĤƵ ACTS

ĤƵ ACTS

A culture of inclusion, respect and continuous innovation through adherence to our four shared values that together form the foundation of ĤƵ 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 ĤƵ and its clients.

Synaptic Health Alliance

ĤƵ 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, ĤƵ serves a vital part in solving the accurate provider data industry problem among other pilot programs.

Technology Leadership Program

ĤƵ’s Technology Leadership Program (TLP) enriches recent college graduates’ 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 – 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.

Find out how ĤƵ can help your organization innovate