• Customer Service, Operational Excellence | Customer Service

    Alere Closes Gaps in Member Healthcare

    Alere’s CareAlerts solution, powered by Pega, uses a business-focused rules engine that doesn’t require heavy IT intervention to use and manage.

  • Customer Service, Customer Retention | Customer Service

    Anthem Creates Next-Generation Service Desktop With Pega Customer Service

    With Pega Customer Service, Anthem created Solution Central. Solution Central is Anthem’s new service desktop making it easy for member experience and back office associates to offer a better, more accurate service to Anthem’s customers.

  • Workforce Optimization, Operational Excellence | Operations

    CareFirst BCBS Speeds Product Builds

    CareFirst selected Pega’s Product Composer System (PCS) for Healthcare to achieve its business goals: improve accuracy, reduce time to market, and decrease the complexity of benefit administration.

  • Customer Service | Customer Service

    Health Alliance Plan: HAP Gives Itself a Health Boost

    Pega helped HAP streamline its entire appeals and grievance lifecycle –from origination to resolution.

  • Customer Service | Customer Service

    Kaiser Permanente: $100M in Savings Over 10 Years

    Pega enabled Kaiser to meet their strategic objectives including: leveraging BPM best practices, simplifying the overall workflow, creating a common design across all call types, and allowing the service team to stay focused on the customers.

  • Customer Service, Operational Excellence | Customer Service

    MGEN’s Global Enterprise Transformation

    MGEN used Pega’s Customer Service for Healthcare to provide a common customer service platform that improved service response, consistency, efficiency, reporting, and alignment across all channels.

  • Operational Excellence | Platform

    OptumRx Safeguards Health and Eliminates Waste

    OptumRx used Pega's Healthcare Industry Foundation on Pega Cloud to deliver a suspicious case-handling system for pharmaceutical claims for both Commercial and Medicare Part D members.

  • Legacy System Innovation, Sales Effectiveness | Platform

    UnitedHealth Group: Massive Net Benefit Savings and Improved Satisfaction

    UnitedHealthcare selected Pega CRM technology to update the customer service platform in their contact centers, enabling end-to-end issue management.

  • Operations

    AmeriGroup

    Amerigroup looks after the health of America's needy. The managed health care provider targets people eligible for Medicaid, the Children's Health Insurance Program (CHIP), FamilyCare, and other government special needs plans.

  • Operational Excellence | Operations

    Blue Cross and Blue Shield of Minnesota

    Blue Cross and Blue Shield of Minnesota, with headquarters in the St. Paul suburb of Eagan, was chartered in 1933 as Minnesota's first health plan and continues to carry out its charter mission today: to promote a wider, more economical and timely availability of health services for the people of Minnesota.