Sioux Falls, 57108, SD,
United States
Avera Health Plans Technographics
Avera Health Plans Technographics, Software Purchases, AI and Digital Transformation Initiatives
Discover the latest software purchases and digital transformation initiatives being undertaken by Avera Health Plans and its business and technology executives. Each quarter our research team identifies on-prem and cloud applications that are being used by the 150 Avera Health Plans employees from the public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources.
During our research, we have identified that Avera Health Plans has purchased the following applications: HealthRules Payer for Core Admin Processing System in 2010, Microsoft BI (SSRS, SSAS, SSIS, SQL Server Reporting) for Analytics and BI in 2014, GoDaddy Webmail for Collaboration in 2020 and the related IT decision-makers and key stakeholders.
Our database provides customer insight and contextual information on which enterprise applications and software systems Avera Health Plans is running and its propensity to invest more and deepen its relationship with HealthEdge Software , Microsoft , GoDaddy or identify new suppliers as part of their overall Digital and IT transformation projects to stay competitive, fend off threats from disruptive forces, or comply with internal mandates to improve overall enterprise efficiency.
We have been analyzing Avera Health Plans revenues, which have grown to $20.0 million in 2024, plus its IT budget and roadmap, cloud software purchases, aggregating massive amounts of data points that form the basis of our forecast assumptions for Avera Health Plans intention to invest in emerging technologies such as AI, Machine Learning, IoT, Blockchain, Autonomous Database or in cloud-based ERP, HCM, CRM, EPM, Procurement or Treasury applications.
Avera Health Plans Tech Stack and Enterprise Applications
Avera Health Plans ERP Services and Operations
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| HealthEdge Software | Legacy | HealthRules Payer | Core Admin Processing System | ERP Services and Operations | n/a | 2010 | 2010 |
In 2010, Avera Health Plans deployed HealthRules Payer as its Core Admin Processing System. The deployment was centered in Sioux Falls, South Dakota and focused on operationalizing benefits configuration and claims adjudication across the payer organization. The implementation targeted benefits administration and claims processing functions that span medical and pharmacy business areas.
Configuration work was executed using HealthRules Manager and HealthRules Designer, with Benefit Plan Wizard used to amend and create benefit plans inside HealthRules Payer. The Senior Configurations Analyst role performed analysis, gathering, build and test cycles using source of truth documents to drive benefit plan configuration, Service Categories, Benefit Plan Components, Value Lists and Templates, aimed at maximizing auto adjudication accuracy. Functional capabilities emphasized benefit setup, rules configuration, templating and automated adjudication workflows.
Operational integrations and coverage included participation on the EPIC implementation team for Tapestry Benefits and direct collaboration with medical and pharmacy staff to align benefit configuration with clinical and pharmacy policy on a quarterly cadence. The team conducted quarterly reviews of CPT, HCPC and ICD 10 codes for service category placement and reviewed the USPSTF site to align preventative benefit coverage with A and B requirements for compliance. Daily operational support included review of Jira tickets for updates and troubleshooting related to inaccurate claims adjudication, and extensive claims testing to identify configuration errors and software defects that affect claims processing.
Governance and documentation were embedded into the rollout, with preparation and maintenance of technical manuals, systems configuration documents and work instructions to onboard and guide configuration staff. Implementation participation covered requirements gathering, definition and configuration of system workflows, and quality audits of benefit configuration set ups to ensure configuration controls and repeatable deployment practices.
Ongoing operational practices centered on continuous configuration quality assurance and claims validation, with structured review cycles and documented configuration standards to support the payer s benefits administration and claims adjudication processes using HealthRules Payer as the Core Admin Processing System.
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Avera Health Plans Analytics and BI
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| Microsoft | Legacy | Microsoft BI (SSRS, SSAS, SSIS, SQL Server Reporting) | Analytics and BI | Analytics and BI | n/a | 2014 | 2018 |
In 2014, Avera Health Plans implemented Microsoft BI (SSRS, SSAS, SSIS, SQL Server Reporting) to establish an Analytics and BI capability across the organization. The deployment involved provisioning a Microsoft SQL Server BI environment on company computer systems, with SQL Server Reporting Services configured for report and dashboard delivery, SQL Server Integration Services engineered for ETL pipelines, and SQL Server Analysis Services deployed for semantic modeling and cube-based analysis.
Engineers created operational and analytical reports and dashboards using SSRS and developed and maintained SSIS packages to extract, transform, and load plan data from transactional sources. SSAS semantic models were configured to encapsulate business hierarchies and measures, enabling consistent dimensional analysis and reusable business logic for reporting workloads.
The BI environment integrated internal data sources via SSIS ETL pipelines to feed the reporting and analytical layers and supported core business functions including finance, member operations, and claims analytics. Deployment and ongoing administration were managed on Avera Health Plans computer systems, with IT owning package engineering and report publishing while business stakeholders consumed published dashboards for operational and analytical use.
Governance focused on report lifecycle management, scheduled SSIS maintenance, and sustained administration of the Microsoft BI stack, ensuring the environment remained the authoritative Analytics and BI platform for the organization.
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Avera Health Plans Collaboration
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| GoDaddy | Legacy | GoDaddy Webmail | Collaboration | Collaboration | n/a | 2020 | 2020 |
In 2020 Avera Health Plans provisioned GoDaddy Webmail as its hosted email platform for addresses on the averahealthplans.com domain. GoDaddy Webmail is classified in the Collaboration category and is presented as the organization facing webmail interface on the company website.
The implementation is a hosted SaaS deployment on GoDaddy infrastructure, leveraging domain based mailboxes and browser accessible webmail to provide email, contact and calendar capabilities consistent with GoDaddy Webmail. Operational ownership is concentrated with internal IT and administrative staff who manage mailbox provisioning and DNS level email routing for both public contact addresses and employee mailboxes. The configuration supports core corporate communications and customer contact workflows via the website, and there are no explicit integrations to other systems disclosed in the provided source.
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Avera Health Plans CRM
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
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CRM | CRM |
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2021 | 2021 |
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Customer Experience | CRM |
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2020 | 2020 |
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Digital Advertising Platform | CRM |
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2017 | 2017 |
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Marketing Analytics | CRM |
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2015 | 2015 |
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Marketing Automation | CRM |
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2021 | 2021 |
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Avera Health Plans PaaS
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
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Transactional Email | PaaS |
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2020 | 2020 |
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Avera Health Plans IaaS
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
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Application Hosting and Computing Services | IaaS |
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2019 | 2019 |
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IT Decision Makers and Key Stakeholders at Avera Health Plans
Apps Being Evaluated by Avera Health Plans Executives
| Date | Company | Status | Vendor | Product | Category | Market |
|---|---|---|---|---|---|---|
| No data found | ||||||