Development and Test Solutions for Healthcare Payers

In today’s fast-paced and hyper-regulated healthcare environment, IT organizations at health benefits companies must support an ever-expanding portfolio of healthcare services, solutions, and specialty products, including life and disability insurance, pharmacy benefit management, dental, vision, long-term care insurance, flexible spending, and so on.  At the same time, they must respond to increasing business and customer demands to deliver cost savings while ramping up quality.

Challenges in Healthcare Payer IT

Lionbridge understands that IT Managers and System Administrators in the Healthcare Payer market are faced with several ongoing challenges:

• Ensuring IT systems are up to date with regulatory compliance and support evolving payer business models
• Consolidation of data across discrete information systems
• Conversion of data into information that can be leveraged across segments (plans, patient outcomes, pharmaceutical drug benefits and utilization, physician benefits)
• Maintaining productivity levels despite manual authorization processes and independent IT approval systems
• Providing healthcare payers with services that enable consumer collaboration

Lionbridge Value

With more than 10 years experience working with leading healthcare payers, our Healthcare and Life Sciences teams offer the knowledge and expertise of payer industry regulations and standards, and domain-specific process frameworks that enable:

• Cost efficiency during transition phases
• Knowledge transfer
• Increased productivity of offshore teams with relevant domain experience and training
• Domain relevance of data and test cases during functional and business process testing
• Enhanced product acceptance

Lionbridge Services

Our solutions for industry-leading healthcare payers include:

• Multi-lingual content creation and support with efficient Globalization-at-Source™ delivery
• Integration testing and independent verification and validation for regulatory compliance across all claims management systems

Our global development and testing services provide:

• Cost-efficient and scalable development and maintenance solutions – onsite, nearshore, and offshore
• Comprehensive independent testing and certification solutions from VeriTest®
• Global program management across U.S., India, China, and European delivery centers

As the leading provider of global language and content solutions, Lionbridge also offers a portfolio of innovative content development, localization and elearning tools and solutions:

• Implementation and support of leading packaged content management systems
• Development, implementation, and support of custom content management solutions

Our process maturity in product and content development is Capability Maturity Model (CMM) Level 5 in India. And our enterprise-wide quality management initiatives are ISO 9001:2000 rated.

Our core service portfolio includes:

• Application Development and Support (Mainframe, .NET, Java, Biz Talk, resident accounting)
• Application Enhancement (FACET, IMS)
• Data Conversion and Migration (IMS to Oracle, Oracle to SQL)
• Application Integration (legacy system integration – IBM mainframe with Web application framework through SOA)

VeriTest® Testing

Lionbridge’s award-winning VeriTest testing and product certification services support IT departments and development teams across industries. VeriTest is also the leading provider of Microsoft certification testing.

The VeriTest service portfolio supports each phase of the development lifecycle:

Specialized testing that addresses the unique needs of health care companies is also offered:

• Integration testing on claims systems to ensure HIPAA compliance
• Interoperability testing of messaging compliance standards – X12, EDIFACT and HL 7