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The path to securing health plan revenue begins at the beginning…with the enrollment system. If a health plan cannot streamline the enrollment of their group / Medicaid members, then their revenue will ultimately suffer. And it’s not just current state revenue impacted. Health plans looking to scale, bring on new members or open new markets will also finds these initiatives negatively impacted.

So how do health plans overcome challenges such as multiple enrollment systems in use, non-standard formats and a lack of visibility both internally and externally? It requires a comprehensive enrollment management system to cut across internal silos, overcome current system limitations and ensure accurate plan revenue integrity. This is what Edifecs Enrollment Management has been purpose-designed to provide to both Medicaid and commercial plans.

Watch this webinar and learn:

  • How your enrollment system is causing you revenue loss
  • How a real-world health plan solved enrollment operational inefficiencies and improved revenue integrity
  • How to start your own revenue integrity improvement initiative leveraging Edifecs Enrollment Management

Watch the Recording!

Meet the Presenters
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Aaron Fulner, Sr. Director, Product Marketing, Edifecs
Aaron Fulner is a Senior Director of Product Marketing at Edifecs. A passionate, seasoned product marketing leader, Aaron has spent many years directing the go-to-market strategies behind cutting edge, enterprise-level software solutions for health insurers. His focus spans insurers involved in commercial, managed Medicaid, Medicare Advantage and Dual Eligible programs. His expertise also spans insurers of all sizes and types ranging from small, regional plans, large, national plans and Blue Cross/Blue Shield organizations.
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Robbi McClane, Sr. Director, Product Management, Edifecs
For over 15 years, Robbi McClane has designed products for healthcare IT applications. She currently serves as senior director of product management at Edifecs where she is an instrumental member of the product strategy leadership team. Prior to joining Edifecs, Robbi was senior product management director for Vitria where she focused on BPM business solutions for healthcare. A graduate of Penn State's Vocational Educator program, she taught computer science at the high school and post-secondary level for eight years before becoming a technical instructor for EDS and later, a product manager in their community banking division.

Edifecs Inc. is a global healthcare software company committed to improving outcomes, reducing costs, and elevating the value of healthcare for everyone. Edifecs delivers the industry’s premier IT partnership platform to providers, insurers, pharmacy benefit management companies, and other trading partners. By mobilizing its leading solutions at the front end of the healthcare information pipeline, Edifecs provides a unified platform for partners to flexibly pilot and scale new initiatives using their existing enterprise systems. Since 1996, hundreds of healthcare customers have relied on Edifecs partnership solutions to future-proof their leading initiatives in the midst of a dynamic healthcare landscape. Edifecs is based in Bellevue, WA, with operations internationally. Learn more about us at edifecs.com.

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