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Westpac NZ, an Infosys Finacle customer evaluated nCino Bank OS

Citigroup, a VestmarkONE customer evaluated BlackRock Aladdin Wealth

Cantor Fitzgerald, a Kyriba Treasury customer evaluated GTreasury

Swedbank, a Temenos T24 customer evaluated Oracle Flexcube

Moog, an UKG AutoTime customer evaluated Workday Time and Attendance

Michelin, an e2open customer evaluated Oracle Transportation Management

Wayfair, a Korber HighJump WMS customer just evaluated Manhattan WMS

FirstCare Health Plans Data, Technology Stack, and Enterprise Applications
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 2016 2016
In 2016, FirstCare Health Plans implemented HealthRules Payer as its Core Admin Processing System. The rollout positioned HealthRules Payer to support provider relations, claims resolution, credentialing, and network development functions across FirstCare’s operational teams, with configuration work focused on provider contract data accuracy and claims payment workflows. HealthRules Payer was configured to manage core functional modules for provider data management, contract administration, claims payment processing, and credentialing support. Implementation activities included validating provider setup and configuration, maintaining contract files, administering contract amendments and rate negotiations, and supporting documentation submission for newly recruited health care professionals. The deployment integrated HealthRules Payer with FirstCare’s Provider Data Management system, the Provider Portal, and the provider lookup tool to enable synchronized provider records and to support claim resolution processes within the HealthRules claims payment system. Operational coverage included local provider relations staff and corporate teams, supporting on-site and telephonic provider education, complaint handling, and collaborative casework for claim issues. Governance and process changes centered on formalizing provider contract data management, instituting validation checkpoints for provider configuration, and documenting workflows for contract negotiation, credentialing, and provider support. FirstCare’s use of HealthRules Payer aligned Core Admin Processing System capabilities with established provider operations, claims adjudication activities, and network adequacy analysis, while preserving cross-functional escalation paths between local and corporate staff.
Analytics and BI
Vendor
Previous System
Application
Category
Market
VAR/SI
When
Live
Insight
Microsoft Legacy Microsoft Power BI Analytics and BI Analytics and BI n/a 2016 2018
In 2016, FirstCare Health Plans implemented Microsoft Power BI to expand its Analytics and BI capabilities. The implementation focused on creating reports and dashboards sourced from HeathRules and Amisys Data Warehouses to support business information needs, drive insights and enable data driven decision making for claims, provider and member operations. Development work used SQL Server Management Studio to create tables, queries, stored procedures, views, functions and triggers, following an Agile methodology. Reports and dashboards were designed, tested and deployed using SSRS and Microsoft Power BI, and artifacts were versioned and maintained in Team Foundation Server to preserve recent versions and support repeatable releases. Integration efforts included developing and testing SSIS packages to ingest and reconcile Fee Schedule data, and leveraging multiple warehouse sources to present a consolidated view to upper management and stakeholders. The implementation coordinated review and updates to the logic used in Health and Human Services Commission reporting, and provided guidance in the design of Member and Provider data marts to improve downstream reporting consistency. Governance and delivery practices emphasized facilitated requirements meetings, iterative requirement gathering, QA of code produced by junior developers, mentoring and training, troubleshooting and performance optimization of existing code, and business user enablement for self serve reporting. The role functioned as a trusted advisor to business stakeholders and collaborated with other departments to introduce new data sources while participating in design, test and implementation activities. Key results from the Microsoft Power BI initiative included developing stored procedures, tables and indexes to streamline provider reporting, creating a stored procedure to automate the quarterly Fee Schedule update, designing testing and deploying a self serve Fee Schedule report with business training, publishing a Provider dashboard in Power BI, and developing SSIS packages to integrate Fee Schedule data. The team coordinated regulatory reporting logic updates for HHSC, provided data mart design guidance, and received a citation award for exceptional contribution during HHSC audit preparation and state led meetings.
Collaboration
Vendor
Previous System
Application
Category
Market
VAR/SI
When
Live
Insight
Cisco Systems Legacy Cisco Webex Meetings Audio Video and Web Conferencing Collaboration n/a 2021 2021
In 2021, FirstCare Health Plans deployed Cisco Webex Meetings. The deployment uses Cisco Webex Meetings in the Audio Video and Web Conferencing category to provide web based conferencing capability embedded on the FirstCare public website. The implementation centers on browser based meeting joins and scheduled meeting rooms exposed via website links, leveraging standard Audio Video and Web Conferencing functional capabilities such as real time audio and video, screen sharing, meeting recording, and participant controls. Operational scope includes customer facing engagement through the website and internal collaboration across corporate functions including sales, customer service, and claims operations. Governance is administered through the Cisco Webex Meetings administrative controls to enforce meeting policies, user access, and role based permissions, and the rollout was provisioned to corporate users and public meeting endpoints on the site.
Content Management
Vendor
Previous System
Application
Category
Market
VAR/SI
When
Live
Insight
Web Content Management Content Management 2021 2021
CRM
Vendor
Previous System
Application
Category
Market
VAR/SI
When
Live
Insight
Digital Advertising Platform CRM 2021 2021
Digital Advertising Platform CRM 2021 2021
Marketing Automation CRM 2021 2021
SPM
Vendor
Previous System
Application
Category
Market
VAR/SI
When
Live
Insight
Incentive Compensation Management SPM 2013 2013
Sales Performance Management SPM 2009 2009
IaaS
Vendor
Previous System
Application
Category
Market
VAR/SI
When
Live
Insight
Application Hosting and Computing Services IaaS 2021 2021
CyberSecurity
Vendor
Previous System
Application
Category
Market
VAR/SI
When
Live
Insight
Secure Email Gateways (SEGs) CyberSecurity 2021 2021
IT Decision Makers and Key Stakeholders at FirstCare Health Plans
First Name Last Name Title Function Department Email Phone
No data found
Apps Being Evaluated by FirstCare Health Plans Executives
Date Company Status Vendor Product Category Market
No data found
FAQ - APPS RUN THE WORLD FirstCare Health Plans Technographics

FirstCare Health Plans is a Insurance organization based in United States, with around 365 employees and annual revenues of $90.0 million.

FirstCare Health Plans operates a diverse technology stack with applications such as HealthRules Payer, Microsoft Power BI and Cisco Webex Meetings, covering areas like Core Admin Processing System, Analytics and BI and Audio Video and Web Conferencing.

FirstCare Health Plans has invested in cloud applications and AI-driven platforms to optimize efficiency and growth, collaborating with vendors such as HealthEdge Software, Microsoft and Cisco Systems.

FirstCare Health Plans recently adopted applications including Cisco Webex Meetings in 2021, Kentico Xperience CMS in 2021 and Xandr Invest (ex AppNexus DSP) in 2021, highlighting its ongoing modernization strategy.

APPS RUN THE WORLD maintains an up-to-date database of FirstCare Health Plans’s key decision makers and IT executives, available to Premium subscribers.

Our research team continuously updates FirstCare Health Plans’s profile with verified software purchases, vendor relationships, and digital initiatives identified from public and proprietary sources.

Subscribe to APPS RUN THE WORLD to access the complete FirstCare Health Plans technographics profile, including detailed breakdowns by category, vendor, and IT decision makers.