​​​​​​​Consumer-Driven Healthcare Solutions

  • Web and mobile experience design
  • Search engine optimization, search engine marketing, social media marketing
  • Google ads
  • Landing page
Choosing a Plan
Choosing a Plan
  • Voice, click-to-chat for sales support, and general questions
  • Chat analytics for proactive chat invites
  • Web portal for plan shopping
  • Live or virtual assistant for quotes
Enrollment and Onboard
Enrollment and Onboard
  • Telesales with licensed agents
  • Back-office new member welcome kits fulfillment
  • Self-service for member portal
  • Chat for member portal set up and assistance
Market Review
Market Review
  • Text or speech analytics for VOC
  • Intuitive marketing
  • Omnichannel community events support
  • Online reputation management
Finding the Right Provider
Finding the Right Provider
  • Virtual assistant for “find a doctor”
  • Provider directories
  • Appointment scheduling
  • Nurse concierge via phone, chat, or video chat
Support or Submit a Claim
Support or Submit a Claim
  • Phone support for claims status
  • Billing support services, Medical coding, Medical cost management, prior authorizations
  • Customer care
Care Management
Care Management
  • Wellness preventative outbound support
  • Case and utilization management
  • Identifying and delivering a care plan via analytics
  • Omni channel education and preventative communication


Member/provider lifecycle management, predictive analytics, claims benefit management, medical cost management, workers' Compensation services


Revenue cycle management, licensed care professionals, patient engagement, remote patient monitoring

Pharma and Life Sciences   

Data analytics, customer inquiries, technical support, supply chain management, clinical trial support, fulfillment, research analysis, benefits coordination
Labs and DME

Labs and DME

Multi-language customer support, technical support, triage and order intake, customer qualification services, collections/billing

Interested in providing better member experiences?


Drive Value Across Every Aspect of
Health Plan Operations

HGS Health+CARE assists payers by supporting transformative initiatives across your entire ecosystem

Transforming traditional care management with CarePoint

Transforming Traditional Care Management with CarePoint

Imagine if you could identify your members by chronic conditions and vulnerabilities, while realizing significant cost avoidance for your members? HGS's NCQA-accredited CarePoint helps you to accomplish both.


Achieving Breakthrough Member CSAT for Major Payer

CLIENT CHALLENGE As one of the world’s largest healthcare payers, this HGS client work


RPA Incubation and Re-engineering for Major Payer Drives $3 Million in Annual Savings

Truly transformative partnerships are built with the confidence and transparency to


HGS Jamaica: Recruiting, Engagement to Drive Member Satisfaction for Health Insurer

Today’s healthcare payers are taking a more customer-centric approach. This means

Looking to improve patient health outcomes?


Make Patient Engagement a Priority

HGS Health+CARE knows the pressures that provider practices face and understands where to focus assets for optimal patient experience

Healthcare Provider Journey

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HGS Population Health Management: Driving Better Outcomes for Providers and Patients

In the changing healthcare marketplace, technological efficiencies and strategic


Driving Increased Efficiency in Appointment Booking, Healthcare Queries for a Major Hospital Chain

OBJECTIVE Today’s healthcare providers are catching up to the retail world, which has


Dramatically Exceeding Collection and Resolution Goals on Very Aged Accounts

Today’s optimized revenue cycle management is increasingly complex for providers, who

Need to unlock efficiencies within your pharma operations?


Control Costs While Driving Business Process Transformation 

HGS's Health+CARE deep pharma expertise and industry-leading compliance ensure process excellence

Robotic Process Automation

Robotic Process Automation driving cost simplification & reducing time

Companies with large scale staffing for back office work with agents performing high-volume, highly transactional processes now use robotic process...

3 Ways Healthcare Engagement Models Differ from Other Industries

Austin Ridgeway, Director, HGS Healthcare Over the past couple of years, there has been a lot of industry buzz about what retail can teach healthcare...

Combining Rightshoring and Design Thinking to Reduce Costs and Improve Value-Based Care

In 2000, a top 10 healthcare payer wanted to test the idea of handling claims

Need scale or agility for your Durable Medical Equipment (DME) support?


Integrating Front-Office and Back-Office Processes to Drive Real Outcomes

Three decades of customer care expertise and industry-leading compliance


Employing Process, Automation, and Clinical Expertise to Recover $140 Million for Diagnostics Leader

Objective Today’s healthcare stakeholders—from hospitals, DME manufacturers, and


Good Health for Virgin Health Bank

About the Client Our client is one of the few companies in the UK that offers its


The 7 Qualities of a Great Healthcare BPO Partner

By Anand Natampalli, HGS SVP, Sales and Business Development, Healthcare Business Process Outsourcing (BPO) used to be a strategy organizations in...

Driving Revenue in an FDA-Regulated Environment

HGS’s Multi-Channel Contact Center Ensures Revenue through Upselling, and Proper Use of

Armed with our deep healthcare expertise, you can anticipate previously unidentified CX needs