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Operations and technology

Program operations for state governments

Transform your operations with modern technology complemented by services.

Continuous modernization and a simplified user experience

Modernize the management of your Medicaid program through improved automation, minimized data entry, streamlined processes and intuitive user-friendly solutions.

Lower your total cost of ownership

Enjoy the flexibility of highly configurable solutions that meet your operational needs. 

Enhance user adoption 

Take advantage of a mobile-first experience built on human centered design (HCD). 

Explore our program operations solutions

One Assist

Our AI-enabled contact center solution helps states connect providers and members to the answers they need.

Provider Management Services for Medicaid Agencies

Provider Management Services improves the way Medicaid agencies manage provider relationships and administrative tasks.

Preadjudication Suite

We offer a comprehensive approach for state Medicaid agencies to remove friction from the claims payment cycle and reduce payer/provider abrasion.

Related healthcare insights

NASPO ValuePoint streamlines procurement

Streamline enrollment and admin activities with the Optum Provider Services Module, a self-service gateway for Medicaid providers and agency staff.

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Call centers and AI technology

Transform state contact centers into 24/7 problem solvers.

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Key learnings for modernizing your state’s legacy system

Dr. Garry Choy, CMO, discusses the pros and cons of using automation and clinical decision support to meet today’s workforce challenges.