PAYERS

Empowering Payers with data-driven healthcare strategies

Transforming deep healthcare insights into actionable, cost-effective strategies that drive smarter decisions and better outcomes

PODCAST

Forging efficiencies: Strategies for integrated and personalized care

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NEWS

Leveraging technology to improve value-based care transition

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PAYERS

Unlocking Payer potential with proven solutions for measurable success

In a rapidly evolving healthcare landscape shaped by technology, regulation, and rising patient expectations, Payers face increasing pressure to adapt. Success lies in unlocking value through proven, insight-driven solutions that deliver measurable outcomes and sustained competitive advantage

Payers

OFFERINGS

Driving value-based Healthcare transformation

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Digital Transformation

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Government Programs: Medicare/Medicaid & ACA

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Healthcare Strategy and Services

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Payer Operations

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Regulatory Compliance

CONNECT WITH US

Take the first step toward achieving measurable outcomes with strategic solutions.

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SUCCESS STORIES

Solving some of the greatest challenges in Healthcare

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Case Study

Driving operational readiness for scalable TPA services

Developed and executed a transformation strategy centered on process optimization, enterprise-wide training, and change management, enabling operational readiness, improved claims and provider workflows, and increased platform adoption for enhanced TPA services.

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Case Study

Stabilized claims migration for a TPA

Reassessed and restructured a complex core claims migration for a regional TPA. Eliminated cost overruns and accelerated execution of 43 roadmap projects across 7 workstreams.

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WHY CITIUS HEALTHCARE CONSULTING

Maximizing value through deep domain and digital capabilities

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Average years of experience

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Healthcare & Life Sciences consulting SMEs

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Clients

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USD cost savings

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NPS rating

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Projects completed

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It was an absolute pleasure working with the Citius Healthcare Consulting team on this project. Their leadership made the entire process seamless and highly effective. The guidance provided throughout was invaluable, and the impact of their involvement was clearly felt. We look forward to future collaborations with the team.

Senior Manager,

RCM Business Operations, Global Medical Device Company

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Citius Healthcare Consulting brought a steady and well-structured approach to managing our NCQA project. The program manager ensured smooth collaboration, came well-prepared to every meeting, and skillfully addressed stakeholder needs. Their ability to communicate across all levels—from frontline teams to the C-suite—was instrumental in building strong relationships and driving project success.

Director, PMO

Medicaid Health Plan

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Citius Healthcare Consulting brought clarity and structure during a high-pressure project transition. Their team quickly stabilized delivery, built strong client relationships, and ensured smooth execution—especially around complex data exchange needs. Even as responsibilities shifted, the team remained a steady, reliable partner across government program workstreams.

Senior Leader, Client Delivery,

Healthcare Technology Firm

Insights

Expert insights driving healthcare forward

Adapting to change: Key trends shaping the payer landscape

Adapting to change: Key trends shaping the payer landscape

From enrollment to improving member health

From enrollment to improving member health

Navigating the complexities of risk adjustment

Navigating the complexities of risk adjustment

Adapting to change: Key trends shaping the payer landscape

Adapting to change: Key trends shaping the payer landscape