HealthEdge

Wishing our colleagues, customers, and friends a very Happy Thanksgiving! We are grateful for YOU! #thankful

With shifting market dynamics dramatically impacting health plans, a one-size-fits-all-approach no longer applies. Learn how AmeriHealth administrators partnered with HealthRules® Payer to increase auto-adjudication rates and claims accuracy, allowing them to reduce costs while bringing new products to market. Read the full case study on our website: https://ow.ly/hnph50UfTZB #HealthPlanCaseStudy #PayerCaseStudy #ClaimsAccuracy

Based on feedback from more than 450 health plan leaders, the HealthEdge® Annual Payer Market Planning Report 2025 spotlights key trends and emerging focus areas for the coming year. Many health plan leaders are looking to invest (or reinvest) in existing technology solutions, in an effort to prepare for the evolving demands of members and the larger healthcare industry. See the top 10 key takeaways from the report on our blog: https://ow.ly/LqRz50Ufoas #HealthPlanStrategy #PayerStrategy #PayerReport

Discover how you can support negotiations at your health plan with updated insights—and achieve significant cost savings in the process. Join HealthEdge® Chief Strategy Officer, Jared Lorinsky, and Director of Product Management, Carl Anderson, in a #Webinar on Dec. 10. They'll demonstrate practical steps for implementing and leveraging What-If modeling to turn discussions into data-driven decisions. Save your seat today! https://ow.ly/cfuc50Ufmr8 #WhatIfModeling #HealthPlanWebinar #PayerWebinar #HealthPlanStrategy

We are pleased to recognize some of our tenured employees who celebrated a milestone work anniversary in November! Thank you for your years of service! #monthlymilestones #workatHealthEdge #5years #10years

We're #hiring a new Senior Data Engineer in Bengaluru, Karnataka. Apply today or share this post with your network.

We're #hiring a new Data Architect in United States. Apply today or share this post with your network.

Digital care programs have emerged as an effective way to engage members in their care and improve outcomes. But encouraging members to interact with their digital care programs can be a challenge. By implementing a few best practices, health plans can enhance the member experience and increase care program completion rates. Omnichannel outreach, for example, can help payers meet members where they are to offer resources and share vital information. Read more about all 4 strategies in our blog: https://ow.ly/NlP250Ue8Wi #MemberEngagement #DigitalHealth

A modern Core Administrative Processing System (CAPS) can empower payers to embrace change and take advantage of new opportunities in less time. Discover how HealthRules® Payer, the next-generation CAPS solution from HealthEdge®, helps improve efficiency and flexibility by delivering actionable insights that empower health plans to achieve their organizational goals. Learn more about how one non-profit health plan partnered with HealthRules Payer to effectively implement a new care management platform: https://ow.ly/hPcZ50Uc06T #HealthcareCAPS #HealthPlanStrategy #PayerStrategy #HealthPlanCaseStudy #PayerCaseStudy

Here are this week's #HotJobs at HealthEdge! Visit our careers site to learn more! https://lnkd.in/gh-KgCJx #workatHealthEdge #hiring