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Healthcare consulting experts who bring deep domain knowledge and experience to support your organization.

At Impresiv Health, we offer a myriad of healthcare consulting solutions tailored to meet our clients’ unique needs. Our diversified services aim to fortify your team, manage projects efficiently, and deploy new technology solutions seamlessly. Leveraging our vast industry knowledge and expertise, we strive to deliver results that exceed expectations.

Whether it’s driving strategic initiatives, or implementing innovative tech solutions, we’re committed to helping you navigate the complexities of today’s healthcare landscape. Partner with us and experience the Impresiv Health difference.

Clinical Program Support

Impresiv Health provides expertise that is the foundation for evaluating, developing, and implementing clinical service programs which are best in class across commercial, CMS, and other health plan models.


Our Expertise:

  • Model of Care Design/Audit
  • Star Ratings Analysis and Improvement Strategy
  • Medical Management (UM/CM/AG Strategies & Implementation)
  • Care Management System Consulting
  • NCQA/URAC Accreditation Preparation and Assistance
  • Value Based Programs Strategy

Healthcare Data Management & Analytics

Our data and analytics team helps clients translate  their enterprise data to satisfy operational and regulatory reporting requirements, to drive business operations decisions and to identify population and cohort-level opportunities.


We Specialize In:

  • BI and Visualization
  • Data Governance Strategy
  • EDW Implementation and Management
  • ETL and API Integration Support
  • Executive Dashboards
  • Operational & Regulatory Reports

Healthcare Claims Management

Our Claims Consultants are trusted subject matter experts, delivering valuable insights and thought leadership for health plans and provider organizations of all sizes.


We Specialize In:

  • Prior Authorization Optimization
  • Denials Management
  • Claims Business Process Outsourcing
  • Vendor Selection & Management
  • Claims automation and Inventory Reduction
  • Business Transformation
  • Operational Improvement

Government Programs

Our team includes industry experts who have served in government and state sponsored plans including Medicare, Medicaid, Indian Health Services, and Federal Employee Programs.


Our Expertise:

  • State and Federal Contractor RFP Development
  • Market Readiness Assessment
  • Data Submission Support
  • Corrective Action Plan Development

Healthcare Audit and Certification Preparedness

In preparation for audits, initial certifications or recertification, we provide a cross-functional team of managed care experts to perform a readiness gap analysis and identify realistic, proactive remediation.


Our Expertise:

  • CMS Audits
  • NCQA
  • URAC
  • Corrective Action Plan Evaluation

Business Process Improvement

Leveraging best practices, our team of experienced Program Managers and Process Analysts can help identify and eliminate areas of inefficiency and resource leakage to position our clients for efficient growth.


We Offer:

  • Problem Definition
  • Data Collection and Analysis
  • Solution Identification
  • Implementation Support
  • Controls and CQI Model
  • Workflow Analysis
  • Time-study
  • Technology Assessment
  • Integration Mapping

Healthcare Program & Project Management

Understanding that clients have many business-critical projects, our team of experienced Program Managers and Project Managers can provide “just in time” transactional support to assure projects are in scope, on time, and under-budget with the highest quality outcomes.


We Specialize In:

  • Business Case Development
  • Schedule and Planning Development
  • Budget Planning
  • Communication Planning
  • Risk Management
  • Quality Control
  • PMO Audit
  • Project Execution & Oversight

Core Platform Selection & Procurement

Our selection and procurement methodology is a repeatable framework to guide a practical selection method. We will help identify the most critical requirements for your core system to support your business area, and our proven process objectively validates your decision to partner with a technology vendor who can meet your current and future state needs.


Our Approach Includes:

  • Project Planning
  • Definition of Requirements
  • Vendor Qualifications and Evaluations
  • Vendors Analysis & Selection
  • Demonstration
  • Due Diligence
  • Software Selection
  • Contract Negotiations
  • Implementation Planning

Core Platform Implementation

With partnerships and deep experience with multiple EMRs, care management, and claims vendors, we support clients in objectively evaluating, selecting, and enabling technology solutions.


We Support:

  • Technology Assessment
  • RFI/RFP Support
  • Contract Negotiations
  • Selection & Procurement
  • Requirements Gathering
  • Functionality Gap Analysis
  • System Design & Configuration
  • Vendor Management
  • Training & Go-Live Support
  • Platform Upgrades
  • Solution Optimization

Core Platform Support

Impresiv Health has experience implementing and supporting healthcare technologies for payers and providers.


Our Expertise:

  • Altruista Health Guiding Care
  • CaseNet TruCare
  • Gainwell Essette
  • Medecision Aerial
  • MHK Care Prominence
  • TriZetto CareAdvance
  • ACUITYnxt powered by Chordline
  • ZeOmega Jiva
  • TriZetto Facets
  • TriZetto QNXT
  • HealthRules Payor
  • Plexis Health Systems

Core Platform Expertise

Mitigate resource constraints by engaging our team when limited resources are presenting a risk to your project.


Key Roles to Engage: 

  • Business & Configuration Analyst
  • Technical Analyst
  • Clinical Consultant
  • Database Administrator
  • Enterprise Architect (EA)
  • Integration Analyst
  • IT Systems Administrator
  • Program/Project Manager (Business/Technical)
  • Reporting Analyst
  • Test Analyst
  • Technical Lead / Director / Decision Maker
  • Trainer

Case Study.

We recently supported a home and community healthcare service provider in implementing customized informatics solutions to revolutionize their operations and create process efficiencies. Key results included successfully deploying a scalable operational system, independent management capabilities with seamless knowledge transfer, and custom implementation with measurable results.

Download a copy of the case study:


Email us to learn more about our consulting services and how we can support your business needs.