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.
