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Dive Into the New Age of Accelerated Analytics

Our Services

Technical Monitoring and Auditing Services

Over the course of an administrative contract, there are countless changes to the health plan systems to improve service, comply with regulations, and ensure cost-effectiveness.  Softech has over 20 years of experience validating all aspects of change in health plan delivery.  Some of our services are:

  • Independent Validation and Verification (IV&V) of health plan system implementations, upgrades, and program changes

  • Fraud, Waste, and Abuse Monitoring

  • Validation of Data Feeds, System Output, and Open Claims.

Enterprise Reporting Services

Our reporting tools and data sets provide the full spectrum of reporting on your health plan's key performance indicators, including:

  • Utilization and Outcomes

  • Financial Reporting

  • Regulatory and Compliance Reports

  • Provider Profiling and Scorecards

Business Intelligence and Data Analytics

Administration and delivery of public healthcare requires timely and accurate data intelligence.  Softech understands the need for this data agility and the service we provide to our clients have been critical tools in response to today's many challenges.  Our services in this area include:

  • Impact Analysis of Service and Fee Schedule Enhancements 

  • Predictive Modeling

  • Business Intelligence Dashboard Suites

  • Data Modeling

Technical Documentation Services

Our team has extensive experience translating healthcare policy into clear Technical Requirements.  Working with our customers and their stakeholders Softech has built Data Governance strategies to ensure improved consistency, reliability, and usability of data for higher quality clinical decision-making.

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