Our Work With Health Plans & PBMs

We have served PBMs and Health Plans of all sizes and market segments for nearly twenty years. We bring our deep domain knowledge and technology expertise to help our clients differentiate themselves and gain a competitive advantage using cutting-edge technology. We understanding the complexities of your business and empathize with challenges you face. We have helped customers build systems for claims adjudication, rebates, benefits coordination, utilization management, meaningful use, and pharmacy auditing. More recently, we are leveraging Artificial Intelligence and Machine Learning to reduce costs and improve productivity for our clients.

We can integrate your business with any leading health networks to support NCPDP Transactions including Real-Time Patient Benefit check and Electronic Prior Authorization.

We have worked with many leading Health Plans on digital transformation solutions to improve member engagement and capture prospective leads. We have helped clients design better plans using member studies and market research.

We are a world class technology company here to serve your unique needs as a member advocate and we have spent our whole career focused on helping PBMs and Health Plans like yours succeed in a rapidly changing and technical landscape.

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Our team of auditors was stretched thin and our technology we had built just wasn’t cutting it. Rather than replace it, JB Consulting made improvements to our technology and increased our productivity three-fold.

Joe M
Joe M
Head of Pharmacy Operations, National PBM

Our prior authorization call center was flooded and productivity was suffering, which was causing our team stress and frustration. JB Consulting seemed to know exactly what was needed to turn things around, and within just two months we had measurable improvements. And as importantly, our managers and call center reps had a more productive and positive work environment.

Raj K
Raj K
Chief Operations Officer, Health Plan

Shaun and his team worked with us to install and configure products at over 10 large enterprise sites, which in total were servicing close to 10 million patients. They learned our business with ease and contributed in anything we asked them to do from a product innovation perspective

Ahmed S
Ahmed S
Chief Information Officer, PBM

When we wanted to test new benefit designs, we worked with JB Consulting to build a tool that allowed prospective members to browse the plans and provide invaluable feedback to our team.

Beth S
Beth S
Chief Experience Officer, Health Plan
Related Case Studies
Case Study: Health Insurance Purchasing Simulator
Private Marketing Firm and Several Blue | Cross Blue Shield Insurance Plans | Chicago, IL

We formed a partnership with a private marketing firm that was conducting market research on behalf of Health Insurance companies. The goal of the partnership was to develop a software application that would provide better market survey data about patients.

Case Study: ACA Subsidy Calculator – Marketing Tool
Private Marketing Firm and Several Blue | Cross Blue Shield Insurance Plans | Chicago, IL

We formed a partnership with a private marketing firm that was conducting market research on behalf of Health Insurance companies.

Our Services

Our service offering is backed by world class expertise in each sector. Each service devision is led by industry veterans with years of expertise in enterprise-level healthcare technology projects.

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Hands-On Integration Management, Services & Support
  • Increase efficiency & cut waste through connectivity & unification for fragmented enterprises.
  • Building integrations for business divisions to exchange value & enable new functions.
  • Connect applications, data sets, or even clouds to create additional value within your organization.
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Full Stack Development Specializing In Enterprise Healthcare
  • Our dedicated, sr. level full stack devs are accustomed to learning the ins-and-outs of your business.
  • From conception, to execution & deployment, we plan and architect with the end user in mind.
  • Our full stack dev services include HTML, CSS, Angular.JS, React, Node, MEAN, Mongo, & much more.
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Digital Transformation
  • We’ll ensure that our clients’ systems, software, and platforms are fully upgraded, secure and scalable.
  • For collaboration, innovation & productivity, we build and deploy modern and adaptive features & tools.
  • We provide comprehensive support from crafting modernization strategies to adopting new technology.
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IT Strategy & Business Consulting Specializing In Healthcare
  • We create innovative, scalable & fully custom strategies for any business lifecycle stage.
  • Capabilities range from advisory service alongside your staff to fully managed IT departments.
  • Security, Compliance, Big Data, Integration, & more – turn-key solutions for optimal patient care.
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Software Modernization and Business Process Optimization
  • Optimizing your business is at the core of what our experienced teams accomplish behalf of our clients.
  • From matters of workflow and document management to creating bespoke software solutions, we make it happen.
  • Unique challenges call for unique solutions, which is key to successfully optimizing business processes.
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Artificial Intelligence & Machine Learning
  • Automating manual processes saves time and money
  • Let your team focus on high impact activities and let technology do the rest
  • Our focus is on ease of use and your broader business goals
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Cloud Services For Healthcare & Fully Managed IT
  • We help ensure that your patients’ information and online experiences are always safe and secure.
  • We help connect organizations, enable ways of interaction for patients, & ensure proper data storage.
  • Phase out obsolete or insecure infrastructure and equipment while moving operations to the cloud.
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Data Warehousing, Reporting, Dashboarding & Analytics
  • We provide reporting tools that uncover insights & serve a vital function in business operations.
  • We allow analytics teams to generate constantly updated snapshots of their critical departments.
  • We provide business operating tools that monitor, make adjustments & yield insights & values.
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Let’s talk about work
We appreciate your interest. Please contact us.
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