Capability Area

Services Covered

What It Means for Payers

How GHIT Digital Delivers

Engagement Models

Cloud & Infrastructure Transformation

Azure Migration, DC Migration, Cloud Transformation, Infrastructure Managed Services, Managed Network

Modernization of legacy infrastructure into scalable, secure cloud and hybrid environments

Cloud assessments, migration factories, landing zones, network consolidation, managed operations

Project-based, Managed Services, Outcome-based

AI, GenAI & Agentic AI

Agentic AI Governance & Testing, AI Dev Framework, Azure AI Factory, AI/ML Developers, Agentforce POCs

Responsible AI adoption for operations, analytics, and service automation

Governance frameworks, POCs, model validation, enterprise AI pipelines

Consulting, POC-to-Production, COE Support

Application Modernization & DevOps

BizTalk Retirement, Azure ADO Assessment, QA Extension, AI-Powered Development

Faster, safer application delivery and modernization

DevSecOps, CI/CD optimization, legacy decoupling, automated testing

Staff Augmentation, Managed Delivery

Security, Risk & Compliance

CISO as a Service, API Security, PAM, SOC/GRC, Server Security, SOX/SOC Cloud Migration

Regulatory readiness and cyber resilience

Risk assessments, IAM, SOC operations, compliance-aligned controls

Advisory, Managed Security Services

Care, Clinical & Payer Operations

HCMACS, ICS Consulting, Patient Matching, Enrollment Extension

Improved care coordination, enrollment accuracy, and data integrity

Workflow optimization, interoperability, platform consulting

Consulting, Platform Support

Payer Workflow Domain (P1)

GHIT Digital Capabilities

What GHIT Digital Delivers

Representative Payer Use Cases

Finance & Revenue Operations

Accounts Payable, SAP S/4HANA, SAP IBP

AP automation, ERP modernization, audit-ready finance operations

AP cycle-time reduction; SOX-aligned financial controls

Enrollment & Eligibility

Enrollment Extensions, Data Migration, Integration Modernization

Scalable enrollment workflows with regulatory alignment

Open enrollment surge handling; CMS & state exchange integration

Claims Operations

AI/ML Consulting, Data Quality, QA Expansion

Intelligent claims triage, validation, and testing

Claims leakage reduction; claims analytics & repair

Care Management (UM / CM / DM)

HCMACS, Integrated Care Consulting, AI Governance

Care coordination platforms with compliant AI adoption

UM automation; care gap identification

Member & Provider Experience

Contact Center Modernization, Digital Mailroom, Adobe Enablement

Omnichannel engagement and faster correspondence

AI call deflection; digital EOB & communications

Security, Risk & Compliance

CISO as a Service, SOC, GRC, PAM, SailPoint

End-to-end security leadership and compliance execution

HIPAA audits; identity governance & access reviews