Payer transformation isn’t clean or theoretical; it’s hands-on, high-stakes, and relentless. With regulatory whiplash, shrinking margins, and rising member expectations, payer organizations are under constant pressure to do more with less. We partner with national and regional payers to untangle systems, optimize operations, and deliver results that move the bottom line. When strategic initiatives outpace internal bandwidth, health plans partner with us. We embed cross-functional experts directly into your teams to drive execution across operations, claims, care management, provider relations, digital transformation, and enterprise functions. Our model is built for payer environments: designed to adapt to shifting regulations and benefit designs, scalable across business lines and geographies, and grounded in payer-specific workflows and compliance demands.
FULL SCALE TALENT EXPERTISE
EXECUTIVE SEARCH
Tech-enabled recruiting for senior executives
INTERIM SOLUTIONS & PROJECT CONSULTING
Deploying proven professionals for
high-impact interim and project roles
EMBEDDED RECRUITING/RPO
An easy-on, easy-off, plug-and-play solution to support volume hiring and surge hiring needs
CONSULTING SOLUTIONS
Consulting services focused on leadership and organizational acceleration and performance
FLEXIBLE TALENT SOLUTIONS
Project/Team Leadership
Full Project Delivery
Subject Matter Expertise
Operations & Project Support
ZRG IS A TRUSTED PARTNER TO TOP HEALTHCARE COMPANIES
PEFFORMANCE-POWERED SOLUTIONS. WHERE IT MATTERS MOST.
Our solutions align to your highest priorities. Whether operational, clinical or financial, we deliver what drives results.
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
- 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
•Portfolio,Project & Program Management (Establish PMO)
• Change 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 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
HIGH PERFORMANCE YOU CAN COUNT ON.
Selected client success stories demonstratinghow we accelerate innovation, enable scale, and reduce risk across the entirelifecycle. We help you win.
Enabled Revenue Recapture With Auditable Financial Modeling
Forecasting & cost allocation model design
We partnered with a large multi-state health plan to recover lost revenue due to inaccurate cost-sharing calculations. Our team designed defensible, data-backed cost allocation models spanning 40+ departments, enabling accurate billing to state government partners.
The result: Audit-ready financial models that helped the client substantiate claims, improve transparency, and recapture previously unrecognized revenue.
Delivered a Transparent, Driver-based Model for $1B in Indirect Allocations
Indirect cost forecasting transformation
A major health insurer lacked a clear methodology to forecast and analyze nearly $1B in indirect cost allocations. We assessed allocation drivers, chart of accounts, and segment reporting alignment between FP&A and accounting.
The result: We delivered a flexible, driver-based forecasting model that enabled proactive cost modeling, improved collaboration, and simplified allocation processes across market segments.
Improved Cash Visibility and Oversight of $3.2B Investment Portfolio
Treasury & investment optimization
We advised a national payer on treasury and investment strategy as part of a broader cost and performance transformation. Our work included transitioning to an outsourced CIO model, developing 13-week cash flow forecasting, redesigning treasury reporting, and supporting retirement plan governance.
The result: The client gained real-time visibility into cash performance and aligned its investment strategy with enterprise goals.
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.
