Healthcare payers are not just under pressure. They are expected to transform in real time. Between evolving regulations, rising consumer expectations, digital demands, and cost containment goals, the stakes have never been higher.

We partner with national and regional payer organizations to drive transformation across operations, claims, care management, provider relations, digital initiatives, and enterprise functions. Our focus is execution, helping health plans move critical work forward when strategic priorities outpace internal capacity.


Built for payer environments

Our model is designed for the realities of payer organizations. It adapts to shifting regulations and benefit designs, scales across business lines and geographies, and reflects the operational and compliance demands health plans navigate every day.

Whether the challenge is improving operational efficiency, modernizing member engagement, advancing value-based care, or supporting large-scale transformation efforts, we bring the structure and expertise needed to keep initiatives moving.
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Execution over advice

We do not show up with binders. We show up with a plan, the urgency to move, and the right blend of project management precision and change management expertise.

When strategic initiatives outpace internal bandwidth, health plans partner with us to embed cross-functional experts directly into their teams. That execution spans operations, claims, care management, provider relations, digital transformation, and enterprise functions.
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The right resources for the work

Every engagement is anchored by proven consultants with 10 to 20 years of experience leading large-scale payer transformation programs.

The shape of the resource matches the shape of the problem:

  • Project or team leadership when you need someone to run the program
  • Full project teams when you need end-to-end delivery
  • Subject matter experts when you need domain depth
  • Operations and project support when you need surge capacity

What we deliver

BUSINESS TRANSFORMATION

  • Healthcare Specialized Services
    • Value-Based Care/Utilization Mgmt.
      • TEAM Bundles
    • Population Health Strategy
    • Member Enrollment & Credentialing
    • Virtual Care/Hospital at Home
    • Clinical Operations Optimization
    • Pharmacy Operations
    • Continuum of Care Integration
    • Revenue Cycle Management
      • Fractional
      • Due Diligence Liquidity Valuation
    • Provider/Payer Contracting Optimization
    • New Product Innovation
    • Claims Processing Optimization
    • Clinical Trials Optimization/R&D Acceleration
  • Strategy Execution
  • Supply Chain Management
  • Procurement & Supplier Management
  • Transaction Advisory Services – M&A and Divestitures
  • Corporate Restructuring & Turnaround Management
  • Human Capital Management

FINANCE & ACCOUNTING

  • Finance Transformation
    • Improve & Optimize Accounting Operations, Reporting, Budgeting & Forecasting
    • Data & Analytics Enablement
  • Financial Operations
  • Equity Administration & Accounting
  • Financial Reporting
  • Technical Accounting
  • Financial Close Automation
  • Tax Strategy, Operations and Compliance
    • Corporate, international, and state & local tax
    • Indirect tax (sales & use, property)
  • Shared Services Delivery Model
  • Treasury

RISK & COMPLIANCE

  • Enterprise Risk Management (ERM)
  • Healthcare Risk Transformation
  • Information Security & Privacy
  • Regulatory Compliance
    • HIPAA Privacy & Security
    • Price Transparency – No Surprises Act
    • PCI Compliance
    • False Claims Act Compliance
    • DOJ Regulations
  • Government Programs
    • Fraud Waste & Abuse
    • Part C & D Compliance
    • Managed Care Compliance
  • ESG Implementation & Benchmarking
  • Operational Risk Management
  • Continuous Controls & SOX
  • Co-source/Outsource Internal Audit

TECHNOLOGY & DIGITAL

  • AI Governance, Implementation & Optimization
  • Telehealth Optimization
  • Business Technology
    • System Assessment
    • System Selection
    • System/Cloud Implementation
    • Performance Optimization
  • Data Analytics, Governance & Mgmt. and BI
  • Data Privacy & Cybersecurity
  • Digital Innovation & Transformation
    • Brand Experience
    • Patient/Member Experience
    • Physician/Clinician Experience
    • Workplace Experience
  • Automation Strategy
  • Business Process Improvement (BPI)
  • Enterprise Performance Mgmt. (EPM)

Why ZRG

  • Built for payer environments, not adapted to them.
    Our operating model is designed for the specific complexity of health plan operations: shifting regulations, benefit design variability, and compliance-heavy workflows across business lines and geographies.
  • Consultants with 10 to 20 years of payer transformation experience.
    Every engagement is led by proven operators who have run these programs before. You are not paying generalists to learn the industry on your dime.
  • Flexible talent structure that matches how the work actually shows up.
    Project or team leadership, full project teams, subject matter experts, or operations and project support. Same team, four ways to engage.
  • Full project delivery, not just advice.
    We deliver end-to-end, from business requirements analysis through change management. When execution stalls, we are the team that finishes the work.
  • Trusted by the payer market that matters. Strategically partnered with 100% of the top 10 North America payers, 100% of Fortune 500 payers, and 100% of Fortune 50 healthcare companies. That base gives us pattern recognition across the initiatives you are running now.

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Health Payers

Our Team

Joni Noel

Co-Head of Global Healthcare & Life Sciences Sector
Head of Project Consulting

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GLOBAL SCALE. BOUTIQUE FEEL.

We are in the markets that matter, but we show up like we’re part of your team. Hands-on, high-touch, and built around your goals.