Managed Care Complaint System
Overview
Fit Score
Settle Intelligence
Settle helps teams find, evaluate, and respond to public RFPs. We continuously surface new opportunities, score them against your company strengths, and draft proposal responses so you can focus on the work that wins business.
SUMMARY
DESCRIPTION
The state of California is seeking a vendor to provide a modern managed care complaint system built on a low-code, configurable platform. The solution must support operational efficiencies and business process re-engineering for both program staff and IT personnel responsible for daily use, maintenance, and enhancement of the system.
The proposed system should offer a consolidated approach to case management, effectively handling both provider and consumer complaints with minimal user interaction. Key features include workflow automation and workload management to allow case analysts to process more complaints efficiently and reduce manual tasks. Comprehensive security controls and platform governance are required to manage and mitigate information security risks, along with streamlined backup and recovery operations for all application data.
California is looking for a SaaS-deployed, low-code case management platform that enables dynamic scaling to accommodate growing case volumes and user demands. The platform should support rapid implementation of new features and functionalities, improving time-to-delivery over traditional software development methods.