SolutionS
Member Enrollment & Engagement Services
Enroll faster. Engage smarter.
Omnichannel journeys that convert prospects and keep members active, securely and at scale.
Member Enrollment & Engagement Services unifies acquisition, onboarding, and lifecycle communications into one governed program. From lead capture and eligibility to plan selection, ID issuance, and first‑90‑day activation, every step is orchestrated with clear workflows, compliant data handling, and measurable SLAs. Personalized outreach such as, mail, email, SMS, and portal, guides members through enrollment, benefits education, and key actions like PCP selection, preventive care, and renewals.
The program standardizes templates, disclosures, and translations across regions and segments, while rules-based targeting delivers the right message at the right time. Real‑time dashboards track conversion, time‑to‑enroll, first‑use events, and engagement by cohort, enabling fast optimization of channels, creative, and offers. Integration with CRM, eligibility systems, and fulfillment ensures ID cards, welcome kits, and policy notices arrive on time and on brand.
Acquisition to Enrollment Orchestration
Capture leads, qualify, and guide plan selection with eligibility checks, disclosures, and assisted application workflows.
Guided Onboarding Journeys
Welcome kits, ID issuance, benefits education, and first‑90‑day nudges for PCP selection, portal activation, and first use.
Omnichannel Communications
Print, email, SMS, and portal messages governed by templates, consent, and frequency rules, localized and translated as needed.
Personalization & Segmentation
Dynamic content by plan, language, region, and life stage; behavior‑based triggers for renewals, lapses, and utilization gaps.
Compliance & Accessibility
Built‑in controls for PHI/PII, GLBA/HIPAA, ADA/508 accessibility, audit trails, and retention policies.
Data Integration & Fulfillment
APIs and secure data exchange with CRM, eligibility, and core systems; automated production of ID cards and welcome kits.
SLA & Exception Management
Defined service levels for application processing, kit delivery, and response handling, with proactive exception alerts.
Measurement & Optimization
Dashboards for conversion, time‑to‑enroll, activation, engagement, and renewal; A/B testing for offers and messaging.
Benefits
- Increase enrollments with streamlined applications and assisted plan selection.
- Accelerate time‑to‑active with guided onboarding and first‑90‑day nudges.
- Improve member satisfaction via consent‑driven, omnichannel communication.
- Reduce costs by standardizing templates, translations, and fulfillment workflows.
- Strengthen compliance with governed data handling, disclosures, and auditability.
- Boost utilization and retention through personalized education and timely reminders.
- Gain clear visibility into conversion, activation, and engagement across cohorts.
- Scale confidently across regions and programs with consistent, SLA‑driven operations.