Mastek's HLS Capabilities

At Mastek, we drive healthcare innovation with advanced technology solutions that boost patient outcomes, streamline operations, and ensure compliance. Our specialized healthcare and life sciences services cater to payers, providers, and life sciences organizations. By leveraging AI, cloud technology, and interoperability frameworks, we enhance operational efficiency, consumer engagement, and data-driven decision-making.

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Empowering Healthcare with Cutting-Edge AI Driven Solutions

Boost efficiency using our advanced healthcare technologies.

Payers/Payviders

Reduce operational costs and optimize claims management with our cutting-edge AI, automation, and cloud-based services. From member enrollment to regulatory compliance, our end-to-end solutions modernize payer infrastructures and enhance member engagement.

Seamless integration services with Oracle AI

Providers

Streamline clinical workflows and improve patient-provider communication with our integrated solutions. From electronic health records (EHR) and telemedicine to revenue cycle management (RCM), Mastek enhances data interoperability for better patient outcomes.

Lifesciences

Accelerate drug development and streamline R&D with our AI-enabled platforms and predictive analytics. Mastek supports life sciences companies with data-driven insights, regulatory compliance, and faster decision-making processes.

Delivering Value

Delivering
Value

Leading The Way

Partnership

Awards & Recognition

ISG Paragon Awards 2024 - North America

ISG Digital Case Study Awards 2024 - North America

Everest Group’s Healthcare Industry Cloud Services PEAK Matrix® Assessment 2024

ISG Provider Lens™ - Healthcare Digital Services 2023 - U.S.

Why Mastek?

Consumer Experience & Engagement

Consumer Experience & Engagement

Boost consumer engagement with digital front doors, mobile solutions, and self-service portals designed to enhance healthcare experiences.

Modernize, Grow & Consolidate

Modernize, Grow & Consolidate

Streamline operations and cut costs by modernizing core systems, consolidating legacy applications, and adopting cloud-based services.

Affordability & Operational Excellence

Affordability & Operational Excellence

Achieve operational excellence by automating processes, reducing administrative costs, and optimizing resources.

Provider & Health Networks Collaboration

Provider & Health Networks Collaboration

Foster seamless collaboration across healthcare networks with real-time data sharing, interoperability solutions, and integrated care models.

Enterprise Technology Transformation

Enterprise Technology Transformation

Transition to modern platforms with our expertise in cloud, AI, and analytics for scalable and secure healthcare operations.

Data Stewardship & Insights

Data Stewardship & Insights

Harness data power with predictive analytics, EDW modernization, and real-time insights for better decision-making.

Interoperability & Managed Innovations

Interoperability & Managed Innovations

Ensure compliance and data sharing with FHIR-based interoperability solutions and innovations like telehealth and IoT-powered virtual hospitals.

Success Stories

Building Trust

Building Trust

Discover Future of Agility & Business Outcomes

enrollLite Solution

Salesforce powered Enrollment & Eligibility app modernization solution on the Cloud to handle membership processing for commercial & government markets​.

smartBroker​ solution

Simplified, Omnichannel Broker Onboarding and Broker-driven sales management for ACA, Small Group, Midsize and Medicare Advantage markets.

CRM Solutions

Salesforce CRM with Agent Force empowering teams with advanced tools for customer management, automation, and insights, enhancing productivity, engagement, and personalized experiences across sales and service operations.

Contact Center Modernization

Enhance Member & Provider experience centers through Salesforce powered omnichannel Contact Center modernization solution that seamlessly integrates with CAPS platforms​.

Provider Lifecycle​ & Network Management​

Transform & modernize Provider Data & Network Management including Credentialing, Contract Management, Reimbursement configuration and Network setup using HealthCloud solution​.

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Integrated Care with Oracle Platforms

Delivering seamless care coordination and operational efficiency using Oracle’s enterprise solutions tailored for healthcare needs.

Workforce Optimization with Oracle Fusion HCM

Transforming talent management by enhancing recruitment, retention, and performance strategies for healthcare organizations.

Streamlined Operations with Oracle Fusion SCM

Optimizing supply chain processes to ensure resource availability and cost efficiency in healthcare delivery.

Financial Excellence with Oracle Finance

Driving accuracy in financial operations with advanced reporting and analytics for informed decision-making.

Scalable Cloud and PaaS Solutions

Leveraging Oracle Cloud Infrastructure (OCI), Oracle Integration Cloud (OIC), and GenAI-powered Cohere for innovative and scalable solutions.

Comprehensive Industry Services

Supporting transformation through change management and specialized services, including Oracle Cerner, to address healthcare-specific challenges.

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Legacy / App Modernization

Modernizing outdated healthcare IT systems into cloud-based, modular solutions to support core administrative tasks like claims processing, eligibility verification, and patient record management.

Digital Front Door Solutions

Developing patient-centric web, mobile, and chat platforms to enhance accessibility and engagement for patients, providers, and healthcare administrators.

Business Process Automation

Automating repetitive healthcare workflows, including claims adjudication, prior authorizations, and error resolution, to reduce administrative burdens and improve operational efficiency.

Quality Engineering Solutions

Ensuring healthcare IT systems are reliable and compliant through robust testing for system integration, user acceptance, and regulatory adherence.

Custom Application Development

Building secure, healthcare-specific applications, such as care coordination tools, provider portals, and patient engagement platforms, using modern architectures like DevSecOps and microservices.

Customer Experience Solutions

Delivering tailored engagement platforms for healthcare stakeholders, leveraging headless and MACH commerce architectures to create seamless, personalized experiences across patient, member, and provider interactions.
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Compliant with CMS-0057F

Streamlines enterprise interoperability and ensures adherence to the latest regulatory mandates.

Seamless Data Exchange

Accelerates electronic prior authorizations and patient access APIs, reducing administrative bottlenecks.

Enhanced Efficiency & Satisfaction

Minimizes manual processes, leading to improved workflow efficiency and higher patient/member satisfaction.

Proven Expertise

Built by the team behind CMS Blue Button 2.0, achieving 30% faster prior authorizations and up to 20% cost savings.

Solution built by the team that developed CMS Bluebutton 2.0 solution. Achieves 30% faster prior authorization processing and up to 20% cost savings.

Proven Expertise

Built by the team behind CMS Blue Button 2.0, achieving 30% faster prior authorizations and up to 20% cost savings.

Ready to transform your healthcare operations?

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Data platform Modernization

Breaking down data silos and modernizing data platforms using advanced tools like Snowflake, Databricks, Microsoft Data Fabric, and Mastek’s ETL accelerators.

Data Quality & Validation

Ensuring accuracy and reliability of healthcare data through robust quality checks and validation processes to support better decision-making.

HLS Data Standardization

Implementing HLS-compliant data models to enable seamless integration and interoperability across healthcare systems.

Data Governance & Compliance

Establishing governance frameworks to meet regulatory requirements like NHRA, ensuring compliance and data accountability.

Privacy & Security Standards enforcement

Strengthening privacy and security standards to safeguard sensitive patient and member data, adhering to healthcare regulations.

Advanced Analytics Solutions

Delivering descriptive and predictive analytics for improved decision-making, along with operational efficiency analytics to optimize healthcare workflows.

Master Data Management Solutions

Establishing enterprise profiles for patient, member, provider and employer groups applying business logic leveraging MDM products (Informatica, IBM etc).

Ready to transform your healthcare operations?

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Intelligent Document Processing ​solutions

Automating data extraction and workflows for printed and handwritten healthcare documents, including paper claims, enrollment forms, clinical notes, authorization faxes, and invoices.

Content Processing Solutions

Simplifying, summarizing, and translating healthcare documents like EOBs, discharge summaries, clinical notes, credentialing documents, and legal contracts.

Chatbots & Virtual Agents

Developing AI-driven assistants to streamline digital workflows for healthcare personas, including members, providers, brokers, employers, and health administrators.

Personalized Digital Journeys and Recommendations

Creating tailored digital experiences, such as PCP recommendations, plan choice advisors, benefit selection guidance, and care plan assignments.

Advanced Conversational AI

Leveraging Gen AI to build multilingual, context-aware chatbots for enhanced patient support, appointment scheduling, and claims assistance.

Dynamic Knowledge Management

Using Gen AI to create and manage healthcare knowledge bases, enabling faster access to up-to-date clinical guidelines, protocols, and operational FAQs.

Ready to unlock the power of predictive analytics?

Let’s innovate together!
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Unified Data Platform

Centralizes data from clinical, claims, and demographic sources for holistic insights. Streamlines workflows and ensures real-time, accurate collaboration across care teams.

Patient & Physician Engagement

Delivers a comprehensive health view to personalize care and enhance outcomes. Improves communication for stronger patient-provider relationships and better adherence.

Population Health Analytics

Leverages predictive analytics to identify trends and manage at-risk groups. Enables proactive interventions that improve community health and reduce costs.

Risk and Clinical Quality Management Analytics

Stratifies patient risk and tracks clinical metrics for effective resource allocation. Ensures compliance with quality standards and supports value-based care goals.

Care Management

Flags care gaps for timely interventions and coordinated treatment plans. Aligns stakeholders to deliver seamless care and drive positive patient outcomes.

Care Management

Flags care gaps for timely interventions and coordinated treatment plans. Aligns stakeholders to deliver seamless care and drive positive patient outcomes.
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Industry Insights

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