INSIGHTS

Improved Payer Relations

Improved Payer Relations 

Improving Payer Relations – Closing BCBS Reciprocity Reimbursement Gaps The largest for-profit member of the Blue Cross Blue Shield Association was managing reputation risk due to a complaint filed with the state’s Department of Insurance. They were looking for a professional services partner to: Assess the current state of claims processing Identify key drivers of failure Implement solutions to avoid future failure Solutions and Results Tactegra designed a new process to facilitate BCBS reciprocity claims and expedite…

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Increased Business Efficiencies

Increased Business Efficiencies

Increasing Business Efficiencies through Process Documentation An enterprise risk team at a Fortune 100 Company was lacking consistent and centralized documentation of key highly regulated processes. In an effort to meet internal audit and regulatory requirements, a professional services partner was needed to:  Inventory and remediate processes out of compliance and bring them up to standard Design a centralized repository where documentation could be stored and shared Solutions and Results Tactegra’s consultants identified and prioritized business processes requiring…

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Achieved Strategic Initiatives

Achieved Strategic Initiatives

Achieving Strategic Initiatives through Delivery Roadmap & Vendor Solutions The enterprise risk group at a Fortune 100 Company was looking to successfully complete firm wide strategic risk initiatives. Struggling to coordinate efforts across departments and 3rd parties, they required a professional services partner to:  Provide key deliverables on the defined timetable Eliminate confusion between departments Identify cost effective vendors of risk solutions that can’t be built  Solutions and Results The Tactegra team defined the desired future state…

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Increased Data Integrity & Improved Processes

Increased Data Integrity & Improved Processes 

Increasing Data Integrity & Improving Processes through Controls Implementation A revenue management team at a Fortune 100 company was facing a high volume of errors and data integrity issues in their quarterly fee calculation process due to insufficient controls and required professional services partner to: Reduce setup errors Eliminate 100% quarterly audit of all contracts Proactively identify faults and remedy them before processing Solutions and Results Solutions and Results To identify gaps in the control library, Tactegra first…

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Optimizing Transaction Processing

Optimized Transaction Processing 

Optimizing Transaction Processing through Capacity Planning The OCC issued an MRIA to a National Payments Provider due to capacity challenges limiting transaction processing volumes for its large bank clients. A professional services partner was required to assess the OCC identified shortcomings and recommend resolutions, specifically:  Assess the current state environment Remove non-performing assets without increasing the risk position Avoid revenue loss to the bank Solutions and Results Leveraging Tactegra’s process recovery approach, the team identified gaps to be…

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Risk Based Decisioning

Risk Based Decisioning

Risk Based Decisioning for Mortgage Portfolio Management A Top 4 US Bank was working against market conditions to manage an increased risk position due to an acquired portfolio of toxic mortgage loans that were foreclosing. They were looking for a professional services partner to: Assess the current state environment Remove non-performing assets without increasing the risk position Avoid revenue loss to the bank Solutions and Results Tactegra designed a new process to accelerate removal of toxic assets from…

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Managing Operational Risk and Efficiency

Managing Operational Risk and Efficiency

Managing Operational Risk & Efficiency Leveraging Lean Six Sigma A southeast regional US Bank was experiencing increased operational risks  every time there were new market demands, as a result of inconsistent problem-solving methods and variation and defect proliferation. They were looking for a  professional services partner to help them improve their return on strategic imperatives: Expense reduction Enhanced revenue Improved customer experience Mitigate risk Solutions and Results Tactegra’s current state assessment identified enterprise wide opportunities to elevate…

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Optimized Customer Experience

Optimized Customer Experience and Resolved MRA Corrective Action The OCC issued an MRA to a Top 10 US Bank due to variation in its debt to income (DTI) calculation across multiple lines of business. Lack of established standards allowed for too much interpretation by business unit and they were looking for a professional services partner to help them: Improve response time to customers Eliminate variation in their loan valuations Decrease cycle time Establish action plan Solutions and Results…

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Medical Center Process Transformation

Medical Center Process Transformation

End-to-End Medical Center Process Transformation A large medical group serving the low-income population of a major city was struggling with low stakeholder satisfaction and repeated revenue shortfalls. They were seeking a professional partner to: Assess the current state environment Improve stakeholder scores and achieve financial goals Assist in achieving PCMH recognition Solutions and Results To uncover root cause, Tactegra deployed an in-depth analysis of patient and provider data coupled with a delayering of the patient flow across the…

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Increasing Lender Market Share and Competitiveness

Increased Lender Market Share & Competitiveness

Increasing Lender Market Share & Competitiveness for a Top 10 US Bank through Process Design Challenge A commercial lending team at a Top 10 US Bank was struggling to grow market share and looking for a  professional services partner to help them attain their operational, financial, and organization design goals and eliminate: High operational costs Inconsistent customer experience Variation and defect proliferation across regions and people Solutions and Results To inform the target state definition, Tactegra leveraged a…

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