01
Prior authorization transformation
Map current-state authorization work, identify the highest-value automation opportunities, and design workflows that reduce avoidable manual effort.
- Operational workflow assessment
- CRD, DTR, and PAS implementation planning
- Evidence and exception-routing design
- Pilot scope, metrics, and rollout roadmap
02
Payer policy intelligence
Convert policy libraries into governed, traceable criteria that can support coverage discovery, documentation guidance, and evidence matching.
- Policy ingestion and normalization strategy
- Knowledge graph and data-model design
- Source provenance and version governance
- Criterion-level validation workflows
03
FHIR and interoperability
Translate business workflows into implementable FHIR exchanges and integration patterns that fit existing clinical and administrative systems.
- FHIR architecture and resource mapping
- Implementation-guide readiness reviews
- API, event, and document exchange design
- Conformance and integration test planning
04
Specialty pharmacy and oncology
Design focused medication-access workflows where prescriptions, benefits, policies, clinical evidence, and case status must come together.
- Referral and intake optimization
- Benefits and authorization orchestration
- Oncology evidence requirements
- Case status and exception management
05
Healthcare AI product strategy
Move AI concepts toward safe, measurable products with explicit human review, auditability, and operational ownership.
- Use-case and feasibility assessment
- Human-in-the-loop workflow design
- Evaluation and quality framework
- Build, buy, and partner analysis
06
Prototype and pilot delivery
Build a narrow proof of value using real workflows and representative data, then measure what is needed for a production decision.
- Rapid workflow prototypes
- Data and integration discovery
- Acceptance criteria and success metrics
- Production transition plan