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Management

When ever several Green Cross Blue Shield applications in upstate New York combined, each business brought its very own business procedures and THIS systems to the new organization. Because these were so several, yet had to be consolidated, the brand new entity, Excellus Blue Get across Blue Shield, wanted to initial implement a powerful business analysis process to clearly identify company capabilities and processes. They wanted to be able to inventory and picture their current state structures in support of system modernization and SOA initiatives.

Problem Excellus Blue Cross Blue Shield is part of a $4 billion family of firms that financial situation and offers health care services across upstate New York, such as major towns of Syracuse, Elmira, Rochester, Utica, and Buffalo. While New York California’s largest non-profit health plan, the organization delivers health insurance to more than 2 million persons, and employs more than 6th, 000 Folks in ny. It is the consequence of a combination of a number of health organizations serving upstate New York.

Pursuing the merger, Excellus found that there were couple of enterprise structure (EA) criteria embraced by simply all of the previously independent agencies. The company formed a group within the IT division to focus on EXPERT ADVISOR as it consolidated business and IT systems and reduced the amount of specialized diversity within the organization. With multiple websites and environments, it was extremely challenging to produce smoothly jogging, cohesive organization procedures, with out a clear comprehension of what techniques and devices were portion each organization.

Many of these musical legacy systems, several in place to get 30+ years, didn’t include adequate records, so there are parts of the systems that had been completely unknown. “Before producing sweeping insurance plan or platform decisions, we recognized the value of figuring out all company functions as well as the processes used to implement them,  described Eric Stephens, enterprise builder, Enterprise Structure and The use Team by Excellus. “This was the first step in our effort to reduce replicate processes that have been a normal reaction to the merger.

We had to develop single systems for promises processing, provider contracting, member registration, plus more, but could hardly do that right up until we completely understood and mapped the existing processes.  Excellus known that a essential success factor would be a service-oriented architecture (SOA) approach, offering the ability to create flexible architectures that count on smaller parts (services), rather than larger monolithic solutions. To be able to implement the architecture in parts gives the company more alternatives (buy versus uild) and allows for variation in particular parts to adapt to a moving market with regard to products.

It absolutely was clear that going forward with big devices implementations might drive the two risks and financial resources to unacceptable levels. In addition , the organization established a goal of standardizing practices to ensure that customers and others outside the business would feel as if they were coping with single company, rather than multiple entities in a loose federation.