High-Value Healthcare Consulting Services for Payers & Providers

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The Healthcare Challenge

U.S. healthcare spending is twice that of any other country in the world. As we approach the four trillion dollar mark, annual healthcare costs account for almost 18% of our GDP, resulting in a lot of inefficiency and waste, as well as many dissatisfied members, patients, physicians, and care staff members. Northridge can help.

How We Provide Value

The Northridge Group equips our best-in-class clinical and healthcare experts with industry-leading analytics tools to drive efficiencies, reduce waste and improve the healthcare experience. Through data analytics, process optimization and clinical expertise, we help our healthcare clients navigate critical pain points so that they can get back to serving the interests of their patients and members.

We understand what you’re up against – and we’re here to help.

Our healthcare consulting services can enhance and enrich your health enterprise to improve the end-to-end experience, streamline processes and uncover revenue and cost-saving opportunities. The Northridge difference is our proven methodology, pairing data analytic insights with clinical experience, clinical informatics, and deep operational expertise to create meaningful change.

Who We Serve

Whether you’re a healthcare payer looking to improve operational performance or a healthcare provider seeking innovations to help transform your organization, Northridge has the solution to meet your needs.

Healthcare Payers

Healthcare payer organizations (private insurance plan providers as well as public sector organizations such as Medicare and Medicaid) set rates, collect payments, process claims and pay provider claims. Among the mounting challenges currently facing payers are rising operational costs, increasing member dissatisfaction, trouble keeping pace with digital transformation, difficulty understanding the Member/ Provider Experience and physician abrasion.

Our Value

The Northridge Group offers a variety of approaches to assist healthcare payers with their unique challenges. Through root cause assessments, process efficiencies, Stars dashboarding and analytics, patient/member journey mapping, VOC insights, as well as employee training, our healthcare payer solutions improve payer-provider relations and support the process and behavioral improvements that drive Member and Provider Experiences.

Providers, Systems & Services

Healthcare providers (health professionals and health facilities that are licensed to provide and bill for healthcare diagnosis and treatment services) and the systems they work with are facing increasing cost pressures and are being tasked with driving operational efficiencies and improving payer-provider relations.

Our Value

The Northridge Group offers a data-driven approach to helping providers optimize their processes to meet quality metric goals, ensure accurate reimbursement and billing, and meet patient satisfaction goals. Our healthcare provider solutions leave providers more time to do what they do best, provide quality patient care.

Medical technology

Medical Devices & Technology

Healthcare providers rely on advanced devices and technology to perform medical procedures and to manage patient data and data analysis. But navigating and maintaining device compliance with quality and safety standards/government regulations (MDR regulation, FDA) can be challenging.

Our Value

The Northridge Group’s medical device consulting solutions utilize advanced data analytics to help healthcare clients improve and streamline operational processes, such as the automating of manual tasks, and ensure that their devices and technology meet or exceed compliance standards.


The pharmaceutical industry (drug manufacturers, biotechnology companies and the distribution and wholesale companies that handle their products) is critical to patient healthcare outcomes. The industry, which relies heavily on the collection and analysis of large amounts of patient data, has been hit hard by the COVID pandemic. Major pandemic-induced challenges include operational inefficiencies brought on by labor shortages and supply chain disruptions, as well as significant increases in demand for data analytics applications (e.g. for vaccine appointment scheduling, etc.).

Our Value

Northridge’s pharmaceutical consulting solutions help our pharmaceutical clients streamline their processes, manage and analyze increasing amounts of data and improve patient satisfaction. Our Workforce Management solutions help the pharmaceutical industry handle labor shortages by optimizing both Contact Center and back-office workforce scheduling.

Our Approach

Collaboration Meets Expertise

By combining process expertise, customer and data insights, and clinical and healthcare acumen, our clients receive best-in-class solutions to solve today’s most challenging healthcare operational issues leading to transformational results within their organization.

Healthcare Experience Coupled With Clinical Expertise & Clinical Informatics

We pair clinical informatics experts and healthcare and clinical leaders with our core consulting team to deliver robust and highly tailored solutions to help our healthcare clients tackle their toughest issues.

Customer Experience

We apply Northridge’s proven methodology and competencies to solve your healthcare payer and provider issues with a collaborative approach to solutioning that improves the member and provider experience.


Data Analysis & Insights

We leverage our clinical expertise to maximize our advanced data analytics capabilities, yielding clinical and healthcare insights that will help you make more informed decisions and optimize your health enterprise’s operations.

Process Expertise

We have deep experience with a variety of process methodologies and specialize in optimizing business processes to help you solve your toughest healthcare problems. Member satisfaction often stems from upstream process issues.

Improved Customer Experience Drives CMS Star Ratings.

Medicare insurance plans are under increasing pressure to provide exceptional experiences at every touchpoint. We help clients ensure their contact centers are performing optimally and that the member/patient journey is effortless. The results are higher customer satisfaction, improved Star metrics achievement, and increased bonus payments from CMS each year.

Connect with a Healthcare Expert

Northridge Success

Customer Service Transformation Drives $70M+ in Operating Savings and Improved CX

A leading healthcare company partnered with Northridge to transform their cost structure through targeted process re-engineering, improved resource utilization and more effective use of technology.

Read the Success Story

Northridge Perspectives

Leveraging Healthcare Data Analytics for Social Good – Part 1

Leveraging Healthcare Data Analytics for Social Good – Part 1

The COVID-19 pandemic shed light on and magnified the socio-economic discrepancies that exist in disadvantaged populations. People who are economically vulnerable and may have food, safety and housing insecurities are often more likely to experience poor health...

Our Services

A Tailored Consulting Approach for Every Service

At The Northridge Group, we offer solutions to your most complex business challenges. With a robust suite of management consulting services, we can help you in any or all of the following areas:


Contact Center

Quality Monitoring

Data & Analytics

Enterprise Technology

Business Process Optimization

Let’s Talk About Your Organization

With experience across nearly every industry, non-profit and governmental agency, we have the team to help you grow.

Let’s start a conversation

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