Healthcare
We help health plans and provider networks untangle legacy systems, migrate data without losing a record, and connect the tools that manage members, providers, and care teams end to end.
Healthcare
Systems that know your members as well as you do.
Health plans run on siloed systems, telephony, enrollment tools, and sometimes spreadsheets standing in for all three. We map how the work actually happens, then build the systems and integrations that keep it running.
Sound Familiar?
- Provider data exists in multiple systems with conflicting information.
- Legacy systems don’t talk to each other, so staff re-key the same data by hand.
- Mapped processes stay on paper and never make it into the systems.
- Call center agents lack a complete view of the member.
- Legacy systems make launching new products and lines of business slow.
tailored pathway
Capabilities that keep member and provider operations running.
From data migration to sales enablement, we build and connect the systems that health plans and provider networks run on every day.
1. Data Integration & System Migration
Connect and migrate member, provider, enrollment, and claims data across legacy and modern platforms.
2. Lead Management
Route and score inbound leads so sales and enrollment teams work and qoute the right prospect first, making your agents more effiecient.
3. Process Mapping
Document how work actually moves through your org, tier by tier, team by team.
4. Process Integration
Seamlessly connect your business processes by having connected healthcare systems.
5. Telephony Integration
Tie call center systems into your CRM so every call carries full member and provider context.
6. Member Services / Analytics
Give service teams a full view of the member, and leadership a full view of the business.
Customer Story
A Provider Relationship Management system built to be the single source of truth.
A regional health plan needed a single source of truth for provider network data shared across internal teams and external vendors. Existing systems couldn’t accurately represent provider hierarchies, creating operational inefficiencies and inconsistent reporting.
The problems were piling up:
1. No source of truth for provider network data, internally or externally
2. Three tiers of provider relationships with no clean way to track hierarchy
3. Ancillary care management staff affiliated with providers, but invisible in the data
4. Manual, inconsistent processes for keeping vendors and internal teams aligned
Our client needed a system that understood how contracting organizations, sites, and individual providers connect to each other, not just a list of records.
Allium designed and implemented a Provider Relationship Management (PRM) solution on Salesforce Sales Cloud, built specifically to model that three-tier hierarchy as the system of record:
The results?
- One PRM system serving as the single source of truth for provider network data
- Clear hierarchy tracking across contracting orgs, medical home sites, and care providers
- Ancillary care management staff mapped and connected to their affiliated providers
- Full requirements, technical design, and field mapping documentation delivered
- User community trained through a train-the-trainer model, with post go-live support
For healthcare organizations, provider data isn’t just a back-office detail, it’s the backbone of every vendor relationship, every referral, and every compliance report. Getting the hierarchy right in the system is what makes the rest of the business work.
Want to become Allium’s next success story?
Tell us what’s not working today, and we’ll help you map the path to fixing it.
Testimonials
Happy Customers
“Extremely knowledgeable”
“The Allium team quickly and efficiently provided a general installation of Salesforce products. Allium was not only able to provide technical expertise, but also provided suggestions for future enhancements outside of the project scope as well as service walk-throughs for business users not as familiar with Salesforce products.”
★★★★★
“Critical integration partner”
“Allium has been a critical integration partner for our Salesforce.com project.”
★★★★★
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