Membership Profiles

Sales Executive - Responsible for developing new business that will help health insurers, physician practices and health care systems transition from volume to value. Interested in expanding CMS opportunities through teaming relationships. Looking for consulting and other quality improvement initiatives with Medicaid agencies, behavioral health organizations and commercial health organizations.

Health Care Excel (HCE) is a healthcare technology company focused on helping clients improve their quality ratings and optimize their revenues. Our combination of leading-edge data services and clinical expertise has positioned us as a strategic partner in the transformational change of the quality and integrity of healthcare systems. We work with health plans, health care providers, state and federal governments, pharmacy-benefit managers, and others. HCE has provided clinically based, objective and independent analysis of the quality, appropriateness and medical necessity of health care services for over 40 years.

HQ: 2601 Stout Heritage Parkway, Suite 2oo, Plainfield, IN 46168

proActive Management (proAM) is a real-time medical performance management solution designed to give health plans, ACOs, PBMs, and providers a detailed analysis of performance levels as a robust web-based application with a complete Roster of HEDIS, P4P, financial and pharmacy measures capable of analyzing measures at the provider, care manager, and member level by tracking individual metrics and enabling users to improve upon those measures. Our solution includes consulting, software, and training. HCE works with private and public healthcare payors to ensure accurate and appropriate reimbursement by delivering clinically based, objective, and independent monitoring of the quality, appropriateness, and medical necessity. As part of the Affordable Care Act, Health Care Excel provides Initial Validation Audit services for commercial health plans and HEDIS consulting and analytic services.