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Running a health plan
shoudn’t be
this hard.

Behind every call, every delay, every confused member... something didn’t work the way it should.

And your team is the one holding it together—while call volumes rise, service levels slip, and expectations keep climbing.


For health plans, this directly impacts
Star Ratings, retention, and revenue.

The results we deliver
when it matters most

2.5 → 5.0 CMS

– score in 12 months

97%+ service

– levels during peak demand

100% compliance

– maintained during enrollment

$1.2M+

– in operational savings

100K+ interactions

– during peak enrollment

2 → 58 agents

– scaled in weeks

20 minutes

– saved per interaction

48% reduction

– in agent turnover

It doesn’t feel like one big problem.

It feels like:

Member Experience Leaders
You’re protecting Star Ratings while managing confusion and repeat calls that show up long after enrollment.
Every unresolved issue becomes another contact—and another risk to performance.
Contact Center & Operations Leaders
You’re expected to maintain service levels during unpredictable volume spikes.
When demand surges, small breakdowns quickly turn into SLA risk (ASA ↑, abandonment ↑).
Enrollment Leaders
You need everything to work across vendors, materials, and support—without failure points.
When readiness slips, it shows up immediately in queue volume and escalations.
Health Plan Marketing Leaders
You’re responsible for clarity and compliance at scale.
If members don’t understand communications, they call—driving avoidable volume and cost.
Fulfillment & Materials Leaders
You’re executing at scale under tight timelines and shifting demand.
When materials aren’t clear or timely, downstream contact volume increases.
Procurement & Vendor Management
You’re managing risk across a fragmented ecosystem.
Gaps between vendors create performance inconsistency—and compliance exposure.

It doesn’t feel like one problem.

It shows up as patterns in your operations.

We’ve helped grow hundreds of companies

Case studies from some of our amazing customers who are building sites faster.

Call volume spikes

Wait times climb. Abandonment follows.
It’s not just volume—it’s everything behind it.

Repeat calls increase

The same issues come back again—and cost more every time.
Because they were never resolved in the first place.

Member confusion grows

Longer calls. Lower satisfaction. More frustration.

What should’ve been clear... wasn’t.

Complaints escalate

Now it’s not just operational—it’s visible.
In Star Ratings. In audits.
In risk.

Enrollment shows what
holds & what falls through.

2026-healthcare-sand-hands
  • Onboarding increases complexity across systems and teams
  • Volume spikes faster than staffing models adapt
  • Questions surge across channels (calls, chat, digital)
  • Service level performance becomes harder to maintain

What breaks during enrollment carries forward —impacting cost, quality, and retention all year.

This is what it looks like
when health plans solve
these breakdowns.

97% +

service levels maintained during peak volume—when most plans see performance drop.

20

minutes average call time reduction—so agents could handle more members without adding headcount.

100k+ 

welcome calls handled during peak enrollment—without service levels breaking. 

$1.2M

in operational savings—by reducing repeat calls and avoidable volume.

Results from health
plans like yours

Scaling Enrollment Calls During Peak Demand

Scaling Enrollment Calls During Peak Demand

100,000+ Calls Managed
Scaling Enrollment Calls During Peak Demand

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Transforming Healthcare CX to Build Trust and Loyalty

Transforming Healthcare CX to Build Trust and Loyalty

20 Min Saved Per Call + 100% Compliance
Scaled enrollment support while improving efficiency and quality (90–95% QA scores)

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CMS Compliance Turnaround

CMS Compliance
Turnaround

5.0 CMS Score Achieved 
From failing compliance performance to full audit readiness within one year

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Always-On Support for Global Science

Always-On Support for Global Science

Zero Downtime for Critical Operations
Maintained continuity for time-sensitive lab environments

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Global Healthcare Support Ecosystem

Global Healthcare Support Ecosystem

Multi-Channel Program Across Regions 
Connected support model improving engagement and outcomes

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This is where we step in
—at the moments
driving those outcomes.

Enrollment Support

Enrollment Support

Stabilize service levels during peak volume.
Prevent backlog, abandonment, and repeat contacts.

Enrollment Support

Supported programs handling 100K+ enrollment calls with no service-level breakdown

Member Onboarding

Member Onboarding

Reduce benefit confusion so members don’t need to call.
Fewer early-stage contacts = lower cost-to-serve.

Member Onboarding

Reduced onboarding-driven contact volume and improved first-call resolution in high-volume programs

Proactive Member Outreach

Proactive Member Outreach

Resolve issues before they generate inbound volume.
Less reactive work for your contact center.

Proactive Member Outreach

Programs requiring 3+ outreach attempts managed efficiently with structured engagement workflows

Grievance & Compliance Support

Grievance & Compliance Support

Resolve sensitive issues correctly the first time.
Reduce escalations, rework, and audit risk.

Grievance & Compliance Support

Achieved 5.0 CMS performance scores through compliance-focused training and QA

Multilingual Member Support

Multilingual Member Support

Improve clarity across every interaction.
Shorter handle time, stronger resolution, fewer follow-ups.

Multilingual Member Support

Delivered compliant, multilingual support across Medicaid and Medicare populations

It’s not one problem
It shows up in different ways:

It’s not one problem. It shows up in different ways:
  • Call volume spikes
  • Queues start backing up
  • Members call more than once
  • Teams start reacting instead of resolving

These aren’t separate issues. They’re all connected: across enrollment, onboarding, support & fulfillment.

What feels like constant pressure is usually the same problem, showing up in different places.

See what’s
really happening
inside health plan operations

The insights, patterns, and performance gaps most
plans don’t see — until it’s too late.

No pressure. Just clarity.

Healthcare is too important
to run on disconnected systems.

Let’s make it work the way it should.