HEALTHCARE OPERATIONS SERVICES
Healthcare operations expertise
built for performance.
We provide healthcare-specialized professionals and scalable teams to strengthen operations across claims, benefits, provider, member, and patient functions, helping organizations improve efficiency and maintain operational continuity.
ADMINISTRATIVE OPERATIONS
Strengthen the operations
behind healthcare delivery.
We support the provider and business operations that keep healthcare organizations running, aligning specialized expertise with operational requirements and day-to-day priorities.
KEY AREAS OF SUPPORT
- Provider enrollment
- Credentialing
- Contract management
- Provider data management
- Business process improvement
- Regulatory support
- Operational readiness
- PMO support
ADVISORY & TRANSFORMATION
Move operational priorities
from planning to execution.
We help healthcare organizations assess processes, define operational priorities, and guide transformation initiatives with experienced professionals who understand healthcare environments.
KEY AREAS OF SUPPORT
- Healthcare operations strategy
- Process assessment
- Operational transformation
- Change management
- Program leadership
FINANCIAL OPERATIONS
Support accuracy across
claims and financial operations.
We provide specialized expertise across claims operations, revenue cycle, and payment integrity, helping organizations manage complex workflows and strengthen financial processes.
KEY AREAS OF SUPPORT
- Benefit configuration and coding
- Claims processing and adjudication
- Coordination of benefits
- Patient financial services
- Medical coding
- Billing and claims management
- Post-payment review
- Audit and recovery
- Fraud, waste, and abuse support
PATIENT & MEMBER OPERATIONS
Improve the experience
at every operational touchpoint.
We support the enrollment, service, and access functions that connect patients and members with healthcare, helping organizations coordinate workflows and respond to individual needs.
KEY AREAS OF SUPPORT
- Enrollment and eligibility
- Member and provider services
- Grievances and appeals
- Benefit configuration and coding
- Product configuration
- Registration and scheduling
- Insurance verification
- Financial clearance
- Prior authorization
FEATURED CLIENT WORK
Real expertise. Measurable impact.
We partner with healthcare organizations to solve complex workforce and operational challenges that improve performance and deliver measurable results.
Healthcare Operations
Facets Data Integration, Configuration & Quality Assurance
Walker Healthforce delivers specialized FACETS expertise across data integration, configuration, UAT, and quality assurance to strengthen production readiness and reduce operational risk.
View case study
Healthcare Operations
Payment Integrity Coding Services
Walker Healthforce transitioned payment integrity coding from T&M staffing to a managed BPO model with dedicated training, governance, reporting, and performance management.
View case studyFEATURED INSIGHT
AI in healthcare requires more than technology
AI’s value in healthcare depends on more than the technology. Successful adoption requires the right governance, infrastructure, workflows, and specialized expertise.
HOW WE DELIVER
Tailored delivery built to meet your needs.
We align the right expertise and delivery model to your needs, whether you’re adding specialized talent, building a project team, or engaging a fully managed team.
Staff Augmentation
Expertise you can rely on.
Healthcare-experienced professionals backed by rigorous vetting, responsive support, and ongoing resource management throughout the engagement.
Team-Based Delivery
Increased flexibility.
Bring together multiple resources and skill sets within a flexible team structure, with service levels tailored to the needs of the engagement.
Managed Delivery
Ownership & accountability.
Walker Healthforce provides active team management, governance, and performance oversight, with defined service levels aligned to the engagement.
Increasing Walker Healthforce delivery involvement
Partnering
Built to work together.
Collaboration is embedded across every delivery model, aligning our expertise, communication, and approach to client priorities.