Government Markets Required Documents

Developing Formal, Repeatable Processes and Procedures That Lead to Compliance for a Required Documents Program

Regulatory requirements are constantly changing and a deep understanding of the healthcare market landscape is essential to driving compliant, efficient and effective government programs.

At ProspHire, we leverage our expertise to navigate the complex landscape of government and regulatory requirements, policies and procedures. This includes the development, quality assurance and delivery of member communications, regulatory submissions and other compliance documentation to improve efficiency and reduce potential impact of health plan non-compliance.

Key Contacts

Julie Evans

Managing Director
Email | Full Bio

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How ProspHire Can Help

See how ProspHire can help address the key issues facing your organization.

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    Compliant CMS Required Documents

    Set your organization up for success by means of a stringent and efficient quality assurance process to improve delivery and reduce risk.

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    Process and Program Improvement

    Improve Annual Enrollment Period (AEP) preparations through a program assessment to drive annual process improvement.

  • Marketing and Communications Project Management

    Engage stakeholders and execute upon marketing and communications strategies with the support of experienced project managers in government programs.

  • Formal Required Documents Program, Governance and Operating Model

    Formalize a sustainable annual program through an organizational playbook for compliant and timely delivery of CMS required documents. 

Client Results

Achieving Required Documents Compliance and Ensuring Ongoing Accuracy

  • Achieve NCQA Multicultural Healthcare Distinction

  • Maximizing Revenue with Medicaid Contract Optimization

  • Helping an MCO Achieve Required Document Compliance