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Contact Center Solutions for Health Plans

Date post: 02-Jul-2015
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Vangent, Inc. is a global provider of consulting, systems integration, human capital management, and business process outsourcing services to the U.S. Federal and international governments, higher education institutions, and corporations. Vangent\'s 7,000 employees support clients including the Centers for Medicare & Medicaid Services, the U.S. Departments of Defense, Education, Health and Human Services, and Labor; and the U.S. Office of Personnel Management, as well as Fortune 500 companies. As the premier healthcare experts, we have a proven track record of successfully designing, building, implementing and operating large scale customer service centers, and underlying information technologies such as member interaction management and web-based self service applications.
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© 2009 Vangent Proprietary Member Interaction Member Interaction Management Management Contact Center Solutions Contact Center Solutions for Health Plans for Health Plans
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Page 1: Contact Center Solutions for Health Plans

© 2009 Vangent Proprietary

Member Interaction Member Interaction ManagementManagement

Contact Center SolutionsContact Center Solutionsfor Health Plansfor Health Plans

Page 2: Contact Center Solutions for Health Plans

© 2009 Vangent Proprietary

2

Vangent at a Glance

• More than 7,000 employees

• Headquartered in Arlington, VA

• Design, build, and operate mission‐critical systems and processes 

• CMMI level 3 and ISO 9001.1/2000

• #5 on Washington Technology’s list of companies in the IT services industry

• #15 on the Federal Times list of top 100 professional services contractors

Page 3: Contact Center Solutions for Health Plans

© 2009 Vangent Proprietary

3

Vision/Mission

• Vision: To be the innovative leader in high‐impact information management and strategic business process outsourcing

• Mission:We design, build, and operate mission‐driven solutions to ensure our customers’ success by combining the right people, technology, and knowledge

People, Processes, Technology

Page 4: Contact Center Solutions for Health Plans

© 2009 Vangent Proprietary

informis™ – Complete MemberInteraction Management

We help health plans lower their member acquisition costs 

and increase revenue.

Page 5: Contact Center Solutions for Health Plans

© 2009 Vangent Proprietary

Vangent Solution Suite

• Comprehensive Solutions for Member Interaction Management– Complete Contact Center Outsourcing

• Inbound/Outbound

• Licensed and Non‐licensed Agents

• Scripting, Contact Management

• Electronic Enrollment Forms

• Seminar and Agent Scheduling

• Integration with CRM Systems

• Reporting Analytics

– informisRecruit – Agent hiring and assessments

– Print and Fulfillment

Page 6: Contact Center Solutions for Health Plans

© 2009 Vangent Proprietary

Multi‐channel Enrollment Process

Page 7: Contact Center Solutions for Health Plans

© 2009 Vangent Proprietary

Phone ChannelPhone ChannelPhone Channel

• Inbound inquiries to enrollments– Licensed– Non‐licensed

• Field agent “enrollment hot‐line”• Outbound follow‐up

– Information kits– BRCs– Appointments– Permission‐based

• Appointment scheduling– Agent visits– Seminar/Event– Scope Of Appointment (SOA)

Page 8: Contact Center Solutions for Health Plans

© 2009 Vangent Proprietary

informis™ Contact Management

• CSR and Licensed Agent Tool for Optimized Enrollment

• Plan Compare• Enrollment Forms• Appointment 

Scheduling• Data Transmission

– Create PDF of Form– Track confirmation #– Process data file

• Robust Reporting

Page 9: Contact Center Solutions for Health Plans

© 2009 Vangent Proprietary

informisRecruit™ – Recruitment and Training Solution

• Source and on‐board high quality licensed agents and CSRs

• Robust, health plan‐focused automated talent acquisition tool

• Pre‐employment assessments mitigate risk of incurring CMS penalties from hiring noncompliant agents– Web‐based

– Easy to administer and score

• Improve compliance, competency, sales and service

Page 10: Contact Center Solutions for Health Plans

© 2009 Vangent Proprietary

informisLearn™ ‐ Compliant, Agent Training

• High impact, immersive and advanced learning strategies

• Blended learning includes:– Self‐paced e‐learning– Classroom activities– On‐job practice

• Curriculum includes– Consultative selling– Customer service– Overcoming obstacles– Plan‐specific– Medicare – HIPAA and MIPPA

Page 11: Contact Center Solutions for Health Plans

© 2009 Vangent Proprietary

Contact Us

• Learn more about Vangent’s comprehensive enrollment and retention solutions for health plans

• Contact: BG Jones– Director, Business Development

– E‐mail: [email protected]

– Phone: 703‐292‐3251

We help health plans lower their memberacquisition costs and increase revenue.


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