Pharmaceutical
We look forward to getting to know you, talking CX, and (our favorite part) learning how we can make your life easier.
Build a resilient healthcare system with a focus on care.
Deliver experiences your customers, members, and providers expect, with the human touch they need. With deep domain expertise in all nuances of healthcare and pharmaceutical services, Concentrix merges efficient, seamless, and scalable processes with an empathetic and knowledgeable workforce. We provide end-to-end services supported by strong horizontal technology and operational competencies.
With HITRUST CSF certification, we help ensure compliance with applicable laws and regulations, including strict standards for PCI and HIPAA compliance.
Accelerate your COVID-19 testing and vaccine readiness and response with a caring partner you can trust. We can help you serve your members, customers, and patients in this critical time with testing and vaccination program support. Our healthcare and pharmaceutical services can be rapidly deployed to help you handle the anticipated surge in testing and vaccine-related inquiries, schedule vaccination appointments, administer health plan benefits, process claims, and more.
Manage health and care programs with ease with our holistic care coordination solutions. We help you deliver value based care with support for coverage review determinations, prior authorizations, patient services, clinical review, and case registration for workers’ compensation.
Enable members to make the right choices to support, ensure, and enhance healthy lifestyles. We integrate analytics and technology to help your members select the best healthcare coverage for their unique needs, providing experiences that increase sales conversion, retention, and long-term loyalty.
Ensure timely and accurate claims processing by entrusting your claims process to us. Our back office functions provide support for the entire claim cycle, including mailroom services, data entry, adjudication, coordination of benefits (COB), repricing, and member/provider correspondence, as well as post-adjudication functions, including audits, overpayment data mining and recovery, adjustments, and payment integrity.
Make it easy for members and patients to adapt to using the latest healthcare technology and medical devices with effortless support experiences. Our knowledgeable agents have the social, emotional, and problem-solving skills to handle members’ device-use questions with care and a sense of urgency, given the critical nature of these inquiries. We provide support to institutions as well.
