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Talent Solutions to Implement Medicaid Management Information System Replacement

Client: IT Services Provider
The client is the largest independent provider of IT services to the United States federal government, with customers in nearly every federal agency. The company operates two segments based on customer type: Defense and Intelligence, and Civil. The services provided are built around government priorities including Cloud migration, application modernization, “as-a-service” delivery, big data services, health IT and informatics, cybersecurity, and mobility.

The Challenge:

The client was selected for the development and implementation of a replacement Medicaid Management Information System (MMIS) for a large southern state, but the client did not have the MMIS subject matter experts needed to deliver the project on time and within budget. They also discovered that the existing database structures were unusable, so they also faced the challenge of needing to customize 80% of the structures instead of the projected 10%.

The Solution:

Due to our standing as a trusted partner to the client, Eliassen Group was selected to deploy a team of subject matter experts with previous MMIS experience.

The Result:

Our team of 159 consultants delivered the replacement MMIS on time. These upgrades yielded multiple extension awards in post-production support for the client. The upgrade to system quality and efficiency increased the number of claims paid per year by 31%. The Department of Health and Human Services and the state governor formally recognized the quality of the system delivered, the improved service to the provider community, and the increase in post-production support.

Highlighted Results

  • The replacement MMIS was delivered on time.
  • The frequency and the number of claims paid per year increased by 31%.

Tools Used

  • Cobol
  • CICS
  • DB2
  • SQL Server
  • IBM zOS
  • SAS
  • Pega
  • Java
  • .Net
  • SOAP Web services
  • Quality Center
  • LoadRunner
  • Unix
  • Windows

Consultants Deployed

  • Business Analysts
  • Quality Assurance Testers
  • Mainframe Programmers
  • SAS Programmers
  • Java Developers
  • Technical Writers
  • Instructional Designers
  • Trainers
  • Project Schedulers
  • Project Managers

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