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Enterprise Modernization / Payers & Insurance

Enterprise Modernization for Payers & Insurance in United States

Delivered from our United States operations

We deploy teams that modernize legacy systems without the 18-month discovery phase. Our engineers inherit broken architectures, failed vendor implementations, and technical debt — and ship working replacements in weeks.

Context

The Landscape

American payers are under simultaneous pressure from CMS interoperability rules, state-level prior authorization reforms, and the expanding HIPAA enforcement posture. The TriZetto breach — 12 months of undetected access across Cognizant's systems — exposed how deeply payer technology infrastructure had traded security for cost optimization. Most payer technology vendors haven't changed the underlying architecture since. They've changed the marketing.

We don't discovery-phase modernizations. We inherit what exists — the broken vendor implementation, the 12-year-old monolith, the failed transformation — and ship what works.

Methodology

Our Approach

Legacy system triage and architecture assessment — engineered for Payers & Insurance and mapped to HIPAA requirements from the first sprint
Strangler-fig migration without downtime — engineered for Payers & Insurance and mapped to HIPAA requirements from the first sprint
Failed vendor implementation rescue — engineered for Payers & Insurance and mapped to HIPAA requirements from the first sprint
Delivered through our United States entity — HIPAA and SOC 2 compliance native, not contracted
Regulatory

Compliance Coverage

HIPAASOC 2NISTFedRAMPCCPANIST AI RMF

Every system we deploy for Payers & Insurance in United States is HIPAA-compliant from architecture through deployment. HIPAA- and -SOC 2 compliance is enforced automatically at every commit — not assessed after the fact.

Structure

Engagement Scope

Tier I
Surgical Strike
Team: 10–30 engineers
Duration: 8–16 weeks

A focused team of 10–30 engineers deployed against a single Payers & Insurance platform in United States. HIPAA + SOC 2-compliant architecture from day one. Fixed price, fixed output, no discovery phase.

Tier II
Enterprise Program
Team: 40–100 engineers
Duration: 3–9 months

40–100 engineers running parallel workstreams across a Payers & Insurance transformation in United States. Multi-system compliance governance, integrated delivery management, and HIPAA + SOC 2 certification maintained across the entire program.

Tier III
Total Infrastructure
Team: 100–250+ engineers
Duration: 6–18 months

100–250+ engineers owning the complete technology infrastructure for a Healthcare organization in United States. Full HIPAA + SOC 2 compliance across every system, every integration, every deployment — from the first commit to the final sign-off.

Enterprise Modernization for Payers & Insurance in United States.

Our engineers understand payers & insurance before they write their first line of code. Delivered from United States.

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Related
Service
Enterprise Modernization
Industry
Healthcare — Payers & Insurance
Region
United States
Parent Page
Enterprise Modernization for Payers & Insurance
Related
AI Platform Engineering for Payers & Insurance
Related
Compliance Infrastructure for Payers & Insurance
Knowledge Base
HIPAA
Knowledge Base
SOC 2
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