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NBC has amassed an incredible amount of experience in the Healthcare market providing services to support the needs of Hospitals, Service Providers, National Insurance Provider Networks, and Healthcare Associations. Over the last 23 years, NBC has made a name for itself working with the Blue Cross / Blue Shield Association and a majority of the BCBSA member plans across the United States. We have been able to build this solid ongoing partnership because of our extensive knowledge of the relationship between the insurance provider, the care-giver, and most importantly the covered member. With this keen understanding and the application of the NBC Engagement Model, our consultants are able to effectively evaluate the business process, procedures, organization, quality and service metrics to recommend and implement change to reach measurable improvement goals.
Services Based From The Following Areas:
- Senior Management/Board Oversight
- Organizational Design
- Customer Service Levels
- Process Re-Engineering
- Marketing Services
- Membership
- Provider Relations
- Productivity
- Consolidation
- Bridging the Gap Between IT and Operations
Typical Engagement Activities:
- Evaluation and implementation of the Customer Service productivity improvement
- Evaluation and implementation of Claims productivity improvement
- Evaluation of Finance reorganization study and implementation
- Evaluation of Finance and IT process, prioritization and communication
- Analysis of Finance Cost Allocation
- Analyzed Finance non-billed and unallocated cash process
- Reorganization study and implementation for Membership
- Processing and re-engineering implementation for Membership
- Evaluation of Membership enrollment systems
- Study for Credentialing outsourcing
- Flow analysis, planning and implementation for the Contracting process
- Analyze staffing for Statistical Actuarial Underwriting budgeting
- Analyze Sales and Marketing for productivity opportunities
- Facilitated the implementation of the Major Medical LRSP Systems
- Assisted with development the pre-system programming (CASS)
- Implemented a plan-wide incentive system
- Implemented performance programs for:
- Claims
- Customer Service
- Membership
- Finance
- Internal Systems
- Sales Support
- Underwriting and Actuarial
- Medical Review
- Screening
- Data Entry
- Information Technology projects which included:
- Implementation of an IT project management program
- IT screening and evaluation program
- GAP analysis of current versus required IT staffing
- IT skills assessment
