Description
The Department of Managed Health Care (DMHC) is seeking information from interested parties regarding in-production case management solutions developed within the Salesforce or Microsoft Dynamics 365 cloud platforms. The goal is to select solutions for demonstration and potentially implement a modern case management system to consolidate the DMHC's disparate complaint systems. The ideal solution should provide core case management capabilities, workflow automation, and specialized case management capabilities. The DMHC is looking for a low-code, configurable platform that can support operational efficiencies and business process re-engineering. Key features include:
• Consolidated case management for both provider and consumer complaints
• Ability to create bulk-claim parent cases and divide documents amongst multiple child sub-cases
• Reducing complaint processing time
• Automating case creation through an external user portal
• Providing real-time case tracking and notifications
• Guided data entry and data validation
• Workflow automation and workload management
• Comprehensive analytics for trend analysis and reporting
Some of the key areas of need for the DMHC include:
• Help Center program needs, such as reducing complaint processing time and improving operational efficiencies
• Office of Technology and Innovation needs, such as enabling IT staff to manage and modify the solution without manual coding and minimizing disruptions to applications
• Current state/environment, including the need to replace legacy systems and improve scalability and availability
• Future state, including the implementation of a new case management solution and the provision of robust analytics capabilities.
Attached files
Contact
Brian Levin(Procurement Analyst)