Professionals who specialize in delivering affordable managed care solutions

We specialize in operations and technology consulting tailored to meet the unique needs of managed care organizations. Our team of experts’ partner with clients to optimize operational efficiency, enhance member engagement, and streamline processes using cutting-edge technologies. From improving claims processing and care coordination to implementing advanced data analytics and automation tools, we empower organizations to deliver high-quality care while controlling costs.

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What we do

Partner with health plans and digital platforms to manage cost of care.

Sierra’s difference lies in our team of health plan operational experts and a vast network of core system technologists with a deep understanding of the platforms and processes required of health plans. The result is a streamlined practice area focused exclusively on efforts to optimize core adjudication, population health, and AI and cloud transformation.

MANAGED CARE OPERATIONS

Core System Configuration
Grievances & Appeals
Population Health
Clinical Process
Audit Readiness & Compliance
Cost Containment
Claims Adjudication
AI & Analytics

CORE SYSTEM INTEGRATION AND OPTIMIZATION

Core System Transformation
Care Management Systems
IT Strategy
Clinical Optimization
Project Management
Data Integration
System Evaluation and Selection

ENTERPRISE INFORMATION MANAGEMENT

Data Quality & Governance
Master Data Management
Data Integration
FHIR Integration
Cloud Transformation
Visualization
AI & Analytics

Who we work with

Experts in the platforms and systems managing the cost and outcome of healthcare.

Our healthcare team is comprised of experts in all cutting-edge platforms enabling managed care organizations to drive the cost of care, improve the health of their members, and ensure regulatory compliance.