The Challenge:
The client was contracted by a state's Department of Health to design, develop, implement (DDI), operate, and enhance the state’s health insurance exchange. This online portal allows users to access and enroll in healthcare plans and processes millions of applications. This was the first type of project that the client had ever done on this large of a scale and with such an aggressive deadline.
The Solution:
As a trusted partner to the client, Eliassen Group was selected to deploy a top-level team of 67 technical resources. These resources needed to be experienced in healthcare, Medicare/Medicaid, and insurance claims, and needed the technical skills required to design and develop the online portal. Our consultants spearheaded the new development, implemented the new changes, solved all production issues, and resolved any incidents.
The Result:
The state's health insurance exchange became more efficient and delivered multiple releases on a bi-weekly and quarterly basis. Program enhancements resulted in a reduced bill time review of 94.4%. Performance tuning ETL jobs (DOCCS, PNDS, CHIP, QARR, KIDS, and CSR files) improved run time by 86%. The successful development and enhancement of the exchange supported 3.3 million enrollees.
Highlighted Results
- Reduced bill time review of 94.9%
- Performance tuning ETL jobs improved run time by 86%
- Successful development and enhancement of the state's health insurance exchange supported 3.3 million enrollees
Consultants Deployed
- Java Developers
- Automation Quality Assurance Testers
- EDI Analysts and Testers
- DB2 DBAs
- Oracle DBA
- Datastage Developers
- Technical Writers
- Business Analysts
- Project Schedulers
- Project Managers