REGULATORY COMPLIANCE
Navigating compliance. Safeguarding profits.
Earning trust.
Empowering you to meet regulatory demands –
while unlocking operational efficiency and reducing risk
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Risk Mitigation – Identify gaps early, protect your plan and reputation
Operational Efficiency – Streamline compliance workflows, reduce administrative load
Competitive Advantage – Demonstrate excellence, win trust and high-value contracts
AREAS OF EXPERTISE
Comprehensive compliance for Payers
Government and regulatory program compliance
Navigate evolving government and regulatory requirements through expert-led policy development, workforce training, audit readiness, data compliance, and performance monitoring, ensuring end-to-end operational alignment and accountability.
Utilization Management & prior auth transformation
Redesign utilization management through intelligent automation, reimagined workflows, and integration, to seamlessly meet prior authorization standards and oversight while enabling cost-effective, quality member care with your provider partners.
CONNECT WITH US
Partner with Citius Healthcare Consulting
to simplify compliance and thrive
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WHY US
Program evaluation
Audit & monitoring support
MA bid coordination
Stars optimization
NCQA, URAC support
Case Study
From backlogs to compliance: Streamlining complaints management
A leading medical device company transformed its complaint management, eliminating backlogs and enhancing compliance, achieving faster investigations, streamlined regulatory reporting, and improved product safety.
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