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Startup & emerging health plans

End-to-end IT & data partner for new health plans.

We help startup and growing health plans stand up their entire IT and data ecosystem — from the first eligibility file to a stable production environment with real members, providers, and regulators watching.

Infrastructure & security
Data integration & QNXT
SQL Server & reporting
Provider directories & ID cards
Strategy & project leadership
Talk about your launch
What we do for startup health plans
We focus on the things that must work reliably from day one: infrastructure, data, reporting, and the tools your operations and compliance teams depend on.
Foundation

Infrastructure, network & security

Build a secure, manageable environment for your staff, systems, and partners — without overbuying or overcomplicating.

  • Network design for offices and remote staff (VPN, VLANs, secure access)
  • Firewall, access control, and security baseline
  • Microsoft 365: email, shared mailboxes, groups, policies
  • Cloud workstations / virtual desktops for key roles
  • Server infrastructure for SQL, reporting, and apps
Data

Data integration & operational feeds

Get eligibility, claims, encounters, providers, and other core feeds flowing cleanly and predictably between your systems.

  • Member & eligibility feeds (834, flat files, custom formats)
  • Claims and encounter flows with payer platforms
  • QNXT integration, mapping, and validation
  • ETL jobs for daily / monthly processing
  • Data validation and reconciliation between sources
DBA

SQL Server & DBA services

Make sure your databases stay fast, healthy, and secure as volumes grow and reporting needs expand.

  • SQL Server installation, configuration, and security model
  • Performance tuning (indexes, stored procedures, jobs)
  • Monitoring for slow queries, blocking, and failures
  • Backup, recovery, and archiving strategies
  • “Emergency DBA” support when issues appear
Reporting

Reporting & analytics foundation

Build the reports and dashboards your operations, finance, and leadership need to run the health plan.

  • SSRS environment, folder structure, and permissions
  • Operational reports: eligibility, claims, providers, members
  • Executive dashboards with Power BI or equivalent tools
  • Compliance and audit-friendly reporting views
  • Self-service reporting structure for analysts
Member & provider

Provider directories, ID cards & materials

Generate the materials members and providers expect, directly from consistent, auditable data sources.

  • Provider directory generation (PDF and/or web layouts)
  • Member ID card data flows and exports
  • Member letters and notices (templates + data merge)
  • Portals or exports for providers and brokers
Strategy

Strategy, roadmap & project leadership

Help leadership make decisions based on real technical constraints, budgets, and timelines — not just vendor promises.

  • 6–12 month IT & data roadmap for launch and growth
  • Gap analysis of current vendors and systems
  • Prioritization: required for go-live vs. later phases
  • Project rescue for initiatives that are stuck or drifting
  • Vendor coordination: clearinghouses, TPAs, print vendors
Engagement model for startup plans
We can act as a temporary IT and data team for your health plan until you are ready to hire in-house — or complement your existing staff with focused, senior-level help.
Initial assessment & roadmap
Small, concrete first phase
Weekly visibility on progress
Knowledge transfer to your team
Contact

Talk about your health plan launch

A 30–45 minute discussion is usually enough to map your current situation, identify key risks, and outline a first set of steps that fit your timeline and budget.

  • We listen to your launch plan, timelines, and constraints
  • We review systems in play (QNXT, data feeds, infrastructure, reporting)
  • We propose a small, practical starting scope
Schedule a conversation