global technology and operations support

Driving 24/7 Healthcare Excellence

Global Ops Support

enGen delivers AI-enabled, end-to-end capabilities and industry-leading solutions on a global scale.

24/7 health tech innovation and support.

Healthcare organizations are under constant pressure to lower administrative costs, improve efficiency, and elevate member and patient experiences—while navigating complex regulations and rapid change.

The enGen Global Capability Center (GCC), delivers  scalable operations and technology services that help payers, providers, and integrated payer-provider organizations run, build, test, and optimize the platforms and processes that power healthcare.

From product implementation and configuration to proactive continuous monitoring, incident management, and day-to-day operations, we provide dependable coverage so your systems and services perform around the clock.

Our core capabilities include business process services (BPS), platform engineering, quality engineering, automation, and revenue cycle optimization—aligned to measurable performance, compliance, and experience outcomes.

Our comprehensive payvider services include...

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Product Consulting

Strategic guidance for efficient platform execution.

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Product Dev & Support

Ensuring seamless and effective system performance.

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Operational Support

Scalable solutions driven by advanced automation and data insights.

This integrated approach empowers payers and providers to effectively manage operations, realize significant cost savings, and enhance service delivery. Explore our global payvider service offerings to discover how we can transform your healthcare operations.

Our core provider solutions include...

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Process Optimization

Streamline workflows and enhance efficiency for transformative client results.

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Workload Management

Expertly manage daily tasks, ensuring optimal team productivity and goal attainment.

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Talent Alignment

Strategically align staffing with your critical business objectives.

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Tech Enablement

Advanced automation and integration that drives meaningful efficiency gains.

Comprehensive Revenue Cycle Management:

We strategically combine labor and technology to optimize your revenue cycle. With extensive experience serving large multi-specialty hospital systems, we partner with you to achieve financial, patient satisfaction, clinician satisfaction, and regulatory goals.

Our RCM Expertise Includes:

  • Provider & Facility Credentialing
  • Patient Access & Registration
  • Charge Capture & Medical Coding
  • Accounts Receivable Management
  • Reconciliations & Payment Posting
  • Patient & Self-Pay Collections
  • RCM Analytics

enGen Payer Solutions: Optimize. Innovate. Grow.

enGen empowers payers to navigate today's complex healthcare landscape with cutting-edge solutions designed to enhance efficiency, reduce costs, and improve member and provider experiences.

professionals strategically planning, conducting analysis, and doing vendor research

Pre-Enrollment Strategy

Drive business outcomes with expert buy vs. build analysis, vendor research, and solutions aligned to your critical industry pain points.

professional engineering supporting platform operations

Platform Engineering & Support

Ensure robust, scalable operations with our end-to-end management of core systems, process automation, and incident resolution. We leverage our HRP platform and proprietary tools for rapid, effective implementation.

global business process services team supporting and streamlining operations

Optimized Business Process Services

Cut time and costs. Our global teams streamline operations - from fast enrollment and quality control to end‑to‑end claims. We handle intake and coding, support care management for payment integrity and utilization, and deliver accurate provider data with advanced analytics.

professional developer focusing on systems code to ensure a seamless and secure platform experience

Quality Engineering

Guarantee a seamless, secure experience across all user portals (members, providers, customer service). Our rigorous cross-functional testing includes business rules validation, cloud/on-prem testing, API services, and more, ensuring your systems are always audit-ready and performing optimally.

enGen Emerging Technologies: Powering the Future of Healthcare.

Unlock innovation and accelerate your digital transformation with enGen’s advanced technology solutions. We leverage cutting-edge tools to modernize systems, enhance efficiency, and drive superior outcomes for your organization.

Our Innovative Solutions Include:

  • AI-Powered Modernization: Revolutionize legacy systems with AI. Drastically reduce cycle times, boost performance, minimize errors, and achieve significant cost savings with controlled modernization.
  • Enterprise Data Solutions: Implement robust Data Lakes and Data Hubs for centralized, governed data. Our Data Extract Hub streamlines data delivery, enhances governance, quality, and security, replacing manual processes. Accelerate data exchange with our cloud-native, self-service ETL tools for massive data processing and consistent performance.
  • Smart on FHIR Applications: Integrate seamlessly within EMR workflows. Utilize Clinical Decision Support (CDS) to deliver personalized, timely information directly to clinicians.
  • Member Sentiment Analysis: Gain real-time insights into member experience. Our custom NLP models analyze feedback for sentiment and emotion, enabling proactive issue resolution, personalized interactions, and data-driven improvements.

enGen Enterprise Services: Your Foundation for Digital Excellence.

enGen provides comprehensive enterprise solutions that optimize operations, enhance security, and drive efficiency across your organization. Partner with us to build a robust, agile, and compliant infrastructure that supports your strategic goals.

Our Enterprise Solutions Include:

  • Digital Workspace & Hybrid Operations: Empower your workforce with secure endpoint management, robust collaboration tools, and seamless end-user mobility across on-premises and cloud environments.
  • Data Management & Integration: Ensure high availability, security, and performance across your databases, middleware (Apache, WebSphere, IBM MQ), and API platforms (Apigee, Axway) for optimized data access and business intelligence.
  • Network, Compute & Observability: Benefit from 24/7/365 support for network operations, data centers, and security. We provide proactive monitoring, automation, and incident management across Windows, Linux, and mainframe environments to guarantee high availability and application support.
  • Optimized Human Capital:
  • HR & Learning Solutions: Our HR Shared Services deliver efficient, compliant support throughout the employee lifecycle. Our Enterprise Learning & Development team provides engaging, data-driven training through expert instructional design and LMS administration to boost employee performance.
  • Enterprise Financial Services: Streamline your financial operations with end-to-end solutioning, role consolidation for minimal disruption, and automated innovation to drive efficiencies and cost savings.
  • Risk & Governance: Strengthen enterprise-wide governance and ensure compliance with global standards. Our team acts as an extended arm of your ER&G and Privacy functions, seamlessly integrating risk management and security objectives into operational execution.

The enGen Difference: Your Strategic Advantage in Healthcare Technology.

Why choose enGen as your technology partner? We don't just offer solutions; we deliver a unique combination of innovation, proven expertise, and relentless dedication to your success.

  • Product Synergy: Our BPS solutions seamlessly integrate with our robust platform, ensuring effortless data flow, advanced automation, and real-time insights, all within a flexible and modular framework.
  • Proven Innovation Lab: With deep experience supporting Highmark Health Plan and Allegheny Health Network, we've refined our technology in real-world healthcare environments. Leverage our proven platform and solutions, and innovate with us in real-time to stay ahead of the curve.
  • End-to-End Expertise: From payer to provider, our holistic approach to process optimization combines deep healthcare knowledge, cutting-edge technology, and a relentless focus on your satisfaction.
  • AI-Enabled Efficiency: We harness the power of AI, automation, and advanced analytics to deliver unparalleled speed, accuracy, cost-effectiveness, and efficiency.
  • Customized Approach: Your organization is unique. Our solutions are precisely tailored to meet your specific needs, challenges, and goals.

Discover how enGen can transform your operations. Tell us how we can help!