ProspHire specializes in strategy, project delivery and strategic resourcing for healthcare companies. Our typical engagements are to help clients define a strategy and then execute medium to large scale enterprise initiatives, such as process optimizations or technology implementations. We also create and deliver healthcare specific mobile apps.

Healthcare Strategy

 

We partner with you to create strategies that reflect your current landscape, and develop a clear roadmap to get where you want to be. We do NOT develop strategies that you’ll put in a binder on a shelf.

Healthcare Project Delivery

                                                                       Simply put, we get it done. We problem solve, execute and deliver results that make you look good. 

  Strategic Resourcing

  

We have the bench strength you need to see a project from start to finish. But we are much more than a staffing firm. We believe that having the right people with the right skills is critical to a project’s success.


Service Offerings

Program and Project Delivery

We manage the complexities of large programs and free clients to run their business. Our seasoned program and project managers (many of whom are PMP-certified) oversee and execute programs using a myriad of project management methodologies (Waterfall, Agile, Six Sigma, Scrum, Hybrid, etc.) to drive results.

Strategic Resourcing

Finding the right people for the right roles can be challenging, particularly when the need is urgent. We have the bench strength you need to fill interim executive roles, fully staff departments and everything in-between. We provide the right resources with the right skills to get the job done.

Business Transformation

Businesses must react quicker than ever to people, process and technology challenges. ProspHire helps clients proactively design and implement business transformation programs that drive and sustain large-scale change.

Lean Process Improvement

We assess business processes to identify strengths and weaknesses, address performance issues and improve efficiency across a business unit or the entire organization. Our analysis and recommendations improve resource utilization and help create a culture of continuous improvement.

Organization Change Management

No program is successful until change is fully adopted. ProspHire helps our clients manage change by addressing the human factors that impact their ability to achieve their strategic objectives.

Technology Integration

IT is the backbone of any enterprise, and ProspHire is adept at helping our clients integrate and maximize their investment in infrastructure, enterprise architecture, information security, systems operations and support. We gather and translate system requirements, fully manage RFI/RFP processes and implement both custom and off-the-shelf solutions to achieve desired business outcomes.

Healthcare Mobile Apps

ProspHire collaborates with health plans to define and build tailored mobile experiences that improve engagement and drive member satisfaction. Our project leaders remain engaged through the entire systems development lifecycle, from inception to deployment, and guarantee the delivered solution conforms to spec and maximizes value for the plan and its membership.

Government Programs

Regulatory requirements are constantly changing, and we help clients ensure their government programs are compliant, efficient and effective. We specialize in optimizing operations, including: enrollment, clinical, outreach and claims. We also fully manage the production and distribution of required documents.

Medicare Operations and Quality

ProspHire evaluates quality programs and initiatives to ensure processes are aligned with CMS expectations. Through in-depth analysis of quality measures, internal workflows and external influences, we recommend and implement strategies to meaningfully improve Stars and HEDIS scores.

Medical Loss Ratio Strategy and Program Delivery

We draw on our extensive healthcare strategy experience to help clients identify, prioritize and program manage initiatives that minimize health plan spend while maintaining or improving medical outcomes for plan participants.

Risk Revenue Optimization

We partner with Risk Revenue to establish and enable processes and technologies to increase risk gap closer and overall revenue capture. Through in-depth analysis of risk gaps, internal workflows and external influences, we recommend and implement strategies to meaningfully improve risk scores.

Member Experience

By conducting a thorough audit of your program, we chart the member experience from prospect, through acquisition, retention and renewal. By mapping every touchpoint in every channel, and tracking response patterns, we develop member-centric strategies to improve engagement and retention.

Clinical Operations

Our experienced clinicians and operations specialists help you optimize your processes. We have deep subject matter expertise in care management, utilization management, and long term services and supports (LTSS) in the Payer market. On the Provider side, we're adept at tackling patient experience challenges, throughput optimization and clinical resource management.

Communications Planning and Execution

Our seasoned communication professionals support transformative change by connecting strategic priorities to action. We help craft and deliver consistent and authentic messages that audiences hear, remember, believe and act on.

RFP Management

Our team has extensive experience managing both sides of the RFP process. We are adapt at both responding to RFPs on behalf of our clients and administering, scoring and evaluating vendors according to an agreed upon set of standards.