We pride ourselves on the breadth of specialized services that we have to offer. No matter what the need, our qualified consulting team is poised to optimize people, processes, technology, and data.

Our Strategic Partnerships

SERVICES OVERVIEW

Bussiness 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
• Provider/Payer Contracting Optimization
• New Product Innovation
• Claims Processing Optimization
• Clinical Trials Optimization / R&D Acceleration

Supply Chain Management
• Procurement & Supplier Management

Transaction Advisory Services
• M&A and Divestitures

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 Compliance & Provision Support
• Corporate, International,
State & Local, Sales & Use
• Shared Service 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 • DOI 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

Tax Compliance

TECHNOLOGY & DIGITAL

Al Governance, Implementation
& Optimization
‍
Telehealth Optimization
‍
Business Technology
System Assessment -System Selection -System/Cloud Implementation Performance Optimization

Data Analytics, Governance
& Management, 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 Management (EPM)

TALENT ADVISORY

Business Acceleration

Culture Practice
‍
Leadership Development

Executive Coaching

Outplacement

Healthcare payers aren’t just under pressure; they’re expected to transform in real time. Between evolving regulations, rising consumer expectations, digital demands, and cost containment goals, the stakes have never been higher. But complexity shouldn’t mean compromise.

At ZRG, we partner with payer organizations to cut through the noise and drive real progress. Whether you're tackling operational inefficiencies, modernizing member engagement, or reimagining value-based care models, we bring strategic horsepower and hands-on execution to every engagement.

We don’t show up with binders. We show up with a plan, the urgency to move, the right blend of project management precision, and change management expertise – because better outcomes aren’t theoretical, they’re measurable.

OUR AREAS OF FOCUS

Program implementation

• Manage large cross- functional implementations

• Identify scope,
customer requirements, milestones, and
manage the risk to deliver to market

PAYER OPERATIONAL TRANSFORMATION

• Creation of strategies to optimize and
streamline operations to improve quality, efficiency, and visibility within service
operations

VALUE-BASED CARE

• Build shared risk model

• Develop incentive
programs

• Build partnership programs

• Develop outcome and
cost models

CLAIMS PROCESSING OPTIMIZATION

•Process optimization and automation opportunities
‍
•Technology review and implementation
‍
• Enhance self-service tools/portals

‍PAYMENT OPTIMIZATION

•Integrate streamlined payments
‍
•Increase electronic adoption

PRICE TRANSPARENCY

• Payer contract negotiation strategies

• Consumer-friendly compliance

• Develop/update marketing material

NEW PRODUCT INNOVATION

• Identify market
segment needs, competitive
differentiators, and strategies to target customers while
increasing speed to
market and
fueling market growth

BEHAVIORAL & PHYSICAL HEALTH PRODUCT DEVELOPMENT

• Develop products that improve access to care and utilization of behavioral health services

DIGITAL INNOVATION & TRANSFORMATION

• Human-centered strategy & design approach to identify desired digital capabilities and
streamline/automate existing processes

CALL CENTER MODERNIZATION

• Modernize call center ecosystems to empower agents by providing them the skills and tools to support members' needs

GOVERNANCE, RISK & COMPLIANCE

• ERM
‍
• ESG
‍
• HIPAA
‍
• Cybersecurity
‍
• Price transparency
‍
• Establish governance
structure to drive accountability

GRIEVANCE & APPEALS WORKFLOW SOLUTIONS

• Leverage tools to build workflows for managing, tracking, and reporting
on the grievance and appeals process

READY TO TRANSFORM? LET'S CONNECT.

Whether you're at the start of a transformation or stuck mid-stream, we're the partner that shows up ready to execute.

Email Us: askexperts@zrgpartners.com

ZRG Health Team

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.

Also of Interest

YOUR TALENT STRATEGY IS YOUR BUSINESS STRATEGY ESG & Talent Acquisition Talent

The Old Way of
Finding Talent
Won't Build
What's Next.

When Time
Matters Most,
So Does Whom
You Trust.

Your Next Big
Bet Deserves
More Than Just
Instinct.

Built In, Not
Bolted On.

Talent,
Solved.

We pride ourselves on the breadth of specialized services that we have to offer. No matter what the need, our qualified consulting team is poised to optimize people, processes, technology, and data.

Our Strategic Partnerships

SERVICES OVERVIEW

Bussiness transformation

FINANCE & ACCOUNTING

RISK & COMPLIANCE

TECHNOLOGY & DIGITAL

TALENT ADVISORY

OUR AREAS OF FOCUS

Program implementation

PAYER OPERATIONAL TRANSFORMATION

VALUE-BASED CARE

CLAIMS PROCESSING OPTIMIZATION

‍PAYMENT OPTIMIZATION

PRICE TRANSPARENCY

NEW PRODUCT INNOVATION

BEHAVIORAL & PHYSICAL HEALTH PRODUCT DEVELOPMENT

DIGITAL INNOVATION & TRANSFORMATION

CALL CENTER MODERNIZATION

GOVERNANCE, RISK & COMPLIANCE

GRIEVANCE & APPEALS WORKFLOW SOLUTIONS

ZRG Health Team

Global Scale.
Boutique Feel.

Capabilities

About

Careers

The Old Way of Finding Talent Won't Build What's Next.

When TimeMatters Most,So Does WhomYou Trust.

Your Next BigBet DeservesMore Than JustInstinct.

Built In, Not Bolted On.

Talent,Solved.

We pride ourselves on the breadth of specialized services that we have to offer. No matter what the need, our qualified consulting team is poised to optimize people, processes, technology, and data.

Our Strategic Partnerships

SERVICES OVERVIEW

Bussiness transformation

FINANCE & ACCOUNTING

RISK & COMPLIANCE

TECHNOLOGY & DIGITAL

TALENT ADVISORY

OUR AREAS OF FOCUS

Program implementation

PAYER OPERATIONAL TRANSFORMATION

VALUE-BASED CARE

CLAIMS PROCESSING OPTIMIZATION

‍PAYMENT OPTIMIZATION

PRICE TRANSPARENCY

NEW PRODUCT INNOVATION

BEHAVIORAL & PHYSICAL HEALTH PRODUCT DEVELOPMENT

DIGITAL INNOVATION & TRANSFORMATION

CALL CENTER MODERNIZATION

GOVERNANCE, RISK & COMPLIANCE

GRIEVANCE & APPEALS WORKFLOW SOLUTIONS

ZRG Health Team

Global Scale.Boutique Feel.

Capabilities

About

Careers

The Old Way of
Finding Talent
Won't Build
What's Next.

When Time
Matters Most,
So Does Whom
You Trust.

Your Next Big
Bet Deserves
More Than Just
Instinct.

Built In, Not
Bolted On.

Talent,
Solved.

Global Scale.
Boutique Feel.