Health & Human Services
Benefits programs are judged on whether eligible people get served, and the systems behind them are judged on whether anyone can audit the answer. We built an operational staffing model for SNAP and Cash Assistance from directly observed process timing rather than estimates, analyzed Medicare fraud patterns and payment integrity for a federal health agency, scoped a unified eligibility platform integrating Medicare, Medicaid and social-welfare benefits for a municipal health-finance agency, and gathered requirements for a coordinated behavioral-health access model for a county health department.
4 Clients
7 Engagements
2017 – 2021 Active
Capabilities in this sector
Case studies
Engagements in the record
Open in the full record| Capability | Engagement | Client | When |
|---|---|---|---|
| Technology Consulting | System requirements gathering for a Coordinated Access Model to improve delivery of behavioral health services | County Health Department | 2021 |
| Technology Consulting | Modernization of a comprehensive eligibility system, integrating Medicare, Medicaid and social welfare benefits into a unified platform | Municipal Healthcare Finance Agency | 2019 |
| Strategic Planning | Data-driven analysis of Medicare fraud patterns across high-risk counties, identifying opportunities for fraud prevention and process improvement | Federal Health Agency | 2018 |
| Program Management | Proposed corrective action plan leveraging automation and analytics to reduce payment leakage by 10% | Federal Health Agency | 2018 |
| Business Transformation | Operational staffing assessment and staffing model for SNAP and Cash Assistance programs | Social Services Agency | 2017 |
| Program Management | Directed audit of Medicare Advantage providers across three states, analyzing claims and risk adjustment data — uncovered inaccurate plan details for approximately 15% of providers | Federal Health Agency | 2017 |
| Program Management | Developed corrective action plans guiding states on payment compliance following state payment integrity audits (PERM) | Federal Health Agency | 2017 |
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