Industry Solutions

Celonis for Healthcare Payor

Improve member experience while reducing costs.

A crossed bandaid in white and a green x

Perform at levels you never thought possible

Streamline Claims Processing

Identify and remediate root causes behind delays in the claims process to ensure that member claims are processed and paid in a timely manner.

Reduce Operating Costs

Reduce cost of claims and other processes by identifying manual or unnecessary process steps and deploying automation to fix.

Improve Member Satisfaction

Improve customer experience and boost member enrollment and retention by streamlining member enrollment and claims processes.

Achieve Payor Operational Excellence

Streamline membership enrollment for a great experience

Enrollment is the member’s first experience with a new plan, shaping their experience with the payor. 

Optimize the member enrollment process to ensure a positive experience for new members and reduce the risk of falling out of regulatory compliance.

Reduce cost and risk in claims

Claims are the lifeblood of a healthcare payor.

Drive continuous improvement in claims efficiency and effectiveness and see a cascading impact across operating costs, member experience, and regulatory risk.

Provide members with quality support when they need it

Member support requests are key person-to-person touch points for a payor. But too often, these become frustrating experiences for members and your service teams.

Ensure positive and effective experiences where members receive the exact help they need in a timely manner.

Deliver drugs on-time to ensure positive member outcomes

Correctly managing in-house pharmacies is critical to member care. Avoiding missed commitments, while also avoiding heavy manual intervention is a core challenge for all pharmacies.   

Track both the fulfillment and inventory processes to identify risks and bottlenecks within pharmacy management. Build a streamlined organization and best-in-class  experience for your customers.

Streamline procurement and increase margins

Rising supplier costs, global shortages, and the drive for sustainability add new challenges to your procurement operations. 

Achieve peak performance and resilience in source-to-pay — from lead time accuracy to selecting vendors based on their sustainability ratings — to work with the right suppliers in exactly the right way.

Streamline membership enrollment for a great experience

Enrollment is the member’s first experience with a new plan, shaping their experience with the payor. 

Optimize the member enrollment process to ensure a positive experience for new members and reduce the risk of falling out of regulatory compliance.

Reduce cost and risk in claims

Claims are the lifeblood of a healthcare payor.

Drive continuous improvement in claims efficiency and effectiveness and see a cascading impact across operating costs, member experience, and regulatory risk.

Provide members with quality support when they need it

Member support requests are key person-to-person touch points for a payor. But too often, these become frustrating experiences for members and your service teams.

Ensure positive and effective experiences where members receive the exact help they need in a timely manner.

Deliver drugs on-time to ensure positive member outcomes

Correctly managing in-house pharmacies is critical to member care. Avoiding missed commitments, while also avoiding heavy manual intervention is a core challenge for all pharmacies.   

Track both the fulfillment and inventory processes to identify risks and bottlenecks within pharmacy management. Build a streamlined organization and best-in-class  experience for your customers.

Streamline procurement and increase margins

Rising supplier costs, global shortages, and the drive for sustainability add new challenges to your procurement operations. 

Achieve peak performance and resilience in source-to-pay — from lead time accuracy to selecting vendors based on their sustainability ratings — to work with the right suppliers in exactly the right way.

Industry-leading customers

Global Healthcare Leader
35%
decrease of member onboarding time
Global Healthcare Leader
25%
reduction in claims handling time
Global Healthcare Leader
54%
Reduction in customer touch points

Connect with a Celonis Healthcare Payor expert

Our dedicated Healthcare Payor solutions team is ready to chat when you are.

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