Celonis for Healthcare Payor

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.

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.

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.

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.

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.