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info@tuckconsultinggroup.com
Tuck Consulting GroupProject Management for Healthcare Payers
Tuck Consulting Group helps you reduce costs, improve speed, and remain compliant by simplifying automation and AI implementations.
Trusted By Leaders in Payer Innovation
Why Do Modernization Projects Stall or Fail?
How many times have you been told you need to cut costs and improve the end user experience?
When it comes to larger scale projects such as automating claims processing, integrating AI, and upgrading your platforms from the early 2000s…
They often end up delayed, over budget, or poorly adopted.
How does project management help this?
When you’re working in a culture of, “this is just how things are”, it can be difficult to see how a specialized PM can help get your org out of the weeds.
When you work with a highly trained partner, they solve for common blockers such as:
- Department misalignment
- Workflow complexities
- Staff resistance
- Compliance hurdles
- Vendor coordination issues
Why AI Alone Can’t Solve Your Problems
Right now, the name of the game in the healthcare industry is to throw AI at whatever issue you’re experiencing, and hope it solves it. Or at least provides temporary relief.
We are massive proponents of AI, and were even early adopters of it. But as veterans in the field, we want to be transparent with you.
There are incredibly versatile AI tools available for claims, prior auth, and member services. But an AI integration involves far more than just plugging the tool in and turning it in.
At Tuck, our project managers have “been there, done that”. We know:
- Payer operations inside and out
- The technology itself and the regulatory environment surrounding these tools
- How to cooridnate seamlessly across vendors, teams, and departments
- The most efficient path to delivering measurable outcomes, instead of just turning an AI tool to “on”
Business Process Mapping: Optimize Before You Automate
When it comes to integrating multiple platforms with AI and automation, capturing a holistic view of business processes helps:
- Identify inefficiencies or manual handoffs before automating
- Reduce rework, duplicative work, and errors
- Enable your teams to deliver expected ROI from the integrations
When we work with teams who take the time to invest in business process mapping, they see:
- Less time spent on unnecessary tasks, more focus on high impact activities
- Reduced operational costs and more budget freed up to focus on growth
- Enhanced customer satisfaction stemming from increased quality
- The ability to adapt quickly and scale when reacting to inevitable industry shifts
Our Approach
At Tuck, our project managers are trained to:
Align our clients tech stack to their business goals
Map existing processes for automation
Lead change management and training
Ensure compliance is never an afterthought
Let’s Run a Successful Integration Project Together.
Regulators aren’t slowing down — and we sure know member expectations aren’t either. CMS continues to push updates, tighten turnaround times, and call centers show no sign of letting up.
Delaying the modernization of the tech environment you’re working within means higher costs, being slower to market, and an ever increasing drain of time and resources.
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