Smooth Implementations Require Collaboration

A health plan’s internal culture can make or break an implementation. 

As a business consultant, I have worked on several different implementations throughout my career. Every internal culture is so vastly different from one project to the next.

My role requires me to ask the right questions to understand the company culture and quickly adapt to ensure a successful implementation. Whether a customer is switching to an entirely new system or performing an upgrade, the project will shift how the company operates to some degree.  

When it comes to change, there will always be natural pushback, so it is an important step at the beginning of the project to understand why there may be hesitancy. Some clients are ecstatic; they're ready for a better solution that will take care of the pain points they're experiencing. On the other hand, some people are comfortable with their routine and not ready to change from the status quo.

In a recent Accenture Research global survey of business and IT leaders worldwide, 77% of executives said that their technology architecture is becoming critical to the organization's overall success.

When it comes to significant initiatives to transform a health plan's business, like a system migration, it requires buy-in from the executive level down to the teammates who will work on the new platform. Without buy-in and collaboration, the implementation process is always much more challenging. 

I understand when plans are mindful of time and resources and say, for example, "I don't think we need a technical person to join this part of the process." However, if a project is understaffed from the onset, customers will spend more time and resources doing catch-up. Ramping down is always easier than ramping up mid-project. The entire process goes much smoother someone at the table can quickly solve an issue or answer a question to keep the project moving forward. Otherwise, clients will spend valuable time scrambling to find the right people and getting them up to speed.

The most successful projects I've worked on are those where the team includes expertise from all facets of the project. When health plans have everyone aligned―project managers, account executives, consultants, financial analysts, IT, etc.―from the beginning, they will achieve the best result. 

Data Sheet
Reimagine Upgrades

A health plan’s core administration system sits at the center of its ecosystem and is vital to creating a competitive advantage. HealthRules® core administrative processing system delivers value to customers by simplifying and optimizing the process of software upgrades and ensuring the latest feature sets are provided to our customers faster, easier, and at lower costs. Download the data sheet to learn more. 

Reimagined Upgrades for health plans logo

About the Author

Tanya Bell

Tanya Bell, Business Consultant, HealthEdge

Tanya Bell is a Business Consultant at HealthEdge, with 21 years in the Healthcare Industry. Tanya has primarily been a consultant, specifically in a Business and/or IT and Configuration Analyst over the past 10 years. Tanya has directly supported claim system implementations, system upgrades, open enrollment and benefit configuration, and staff augmentation projects. Tanya has also contributed on cross-functional teams as an SME for Claims Processing, Provider Contracts, QA and Testing. Rounding out her experience she has managed several departments within Operations which included Claims and Customer Service. Tanya has been named Chair/Champion of the DE&I Committee IBelong at HealthEdge and also serves as Chair on the Board of Directors of Pure Potential Enterprises. In her spare time, when not spending time with her family, she enjoys cooking and is obsessed with crochet and knitting projects and all things sports!


Subscribe to The 'Edge Report Blog