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Tina Opp
Vice President, Payer
Industry
Payer
Sustainable Business Strategies, Enabled by Data & Technology
Payers are under pressure to adapt quickly to rising costs and margin compression. Regulatory shifts, new entrants and competition, and expectations for personalized digital experiences make sustainable business strategies harder to define and activate.
We help organizations meet that challenge by embedding operational excellence, making data more usable, and aligning technology to business goals, enabling leaders to drive growth, improve efficiency, and advance value-driven cost management to deliver measurable performance improvement.
$2.6M
COST SAVINGS THROUGH WORKFLOW AUTOMATION
88%
PRODUCTIVITY INCREASE IN AUDIT & OPERATIONAL WORKFLOWS
$10M
REVENUE GROWTH ENABLED THROUGH PROVIDER NETWORK EXPANSION
209%
REVENUE GROWTH WITH 33% MARGIN RATE INCREASE
Segments We Serve
National Plans
Operating across states and lines of business creates a complex combination of regulatory requirements, workflows, and technology architectures amidst diverse customer needs in each geography. We bring data and technology enabled approaches to help National Plans leverage their scale, innovate, and control costs at the market, product, and functional levels.
Regional Plans
Regional Plans compete with national players who have greater scale, while seeking to differentiate and create compelling value propositions. We help regional plans achieve sustainable growth and build repeatable operating structures required for efficient operations that effectively serve customer needs and support their growth goals.
Integrated & Provider-Sponsored Plans
Integrated Health Systems and Provider-Sponsored Plans have a unique opportunity to transform member and patient value through aligned financial and clinical goals. But siloed data, disconnected technology, and misaligned incentives make that hard to unlock. We help develop strategies and operations that drive evolution of care models for better outcomes.
Healthcare Services, Administration & Technology
Administrators, data organizations, and technology providers are playing a larger and more strategic role in the payer ecosystem. But fragmented data, manual workflows, and customer demands for tangible ROI limit what can be achieved. We help these organizations sharpen their differentiation, scale operations, and develop capabilities for growth and innovation.
Saving $2.6M by Automating Proof-of-Contract Workflows
A health plan relied on large teams to manually review provider contracts to support audit and compliance requirements. The process was time-intensive, difficult to scale, and heavily dependent on manual effort.
See how Point B helped automate and standardize the proof-of-contract process, increasing productivity by 88% and delivering $2.6M in cost savings.
How We Deliver Results
Business Performance
We drive top and bottom line business performance improvement, creating clarity in strategic direction and optimizing work through automation and more scalable operating models. We help payers lower administrative costs, increase operational efficiency, and enable more profitable, sustainable growth.
This work includes:
- Performance management & decision enablement
- Operating model and process redesign
- Workforce change & adoption
- Workflow automation
- Transformation execution & orchestration
Data, Technology & AI
We bring innovative, enduring technology solutions that challenge the status quo and accelerate outcomes. By strengthening core systems and connecting data to unlock real-time insights, we maximize the value of AI and digital investments to improve customer experiences and enable more tailored, real-time decision-making.
This work includes:
- Technology modernization & system integration
- AI implementation & activation
- Data foundation & engineering
- Data governance & responsible AI
- Applied AI & custom solutions
Case Studies
Our Experts
For more than 27 years, our Healthcare experts have worked across the health insurance ecosystem, helping more than 330 healthcare organizations improve regulatory, operational, and data-driven performance.
