Camarillo, 93010, CA,
United States
Gold Coast Health Plan Technographics
Gold Coast Health Plan Technographics, Software Purchases, AI and Digital Transformation Initiatives
Discover the latest software purchases and digital transformation initiatives being undertaken by Gold Coast Health Plan and its business and technology executives. Each quarter our research team identifies on-prem and cloud applications that are being used by the 400 Gold Coast Health Plan employees from the public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources.
During our research, we have identified that Gold Coast Health Plan has purchased the following applications: ADP Workforce Now for Core HR in 2021, HealthRules Payer for Core Admin Processing System in 2022, Conduent Blockchain Solution for Blockchain Platform in 2019 and the related IT decision-makers and key stakeholders.
Our database provides customer insight and contextual information on which enterprise applications and software systems Gold Coast Health Plan is running and its propensity to invest more and deepen its relationship with ADP , HealthEdge Software , Conduent 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 Gold Coast Health Plan revenues, which have grown to $52.0 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 Gold Coast Health Plan 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.
Gold Coast Health Plan Tech Stack and Enterprise Applications
Gold Coast Health Plan HCM
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| ADP | Legacy | ADP Workforce Now | Core HR | HCM | n/a | 2021 | 2021 |
In 2021, Gold Coast Health Plan implemented ADP Workforce Now to serve Core HR functions. ADP Workforce Now is deployed as the organization’s centralized HR platform for its approximately 400 employees, and the application is surfaced through Gold Coast Health Plan’s website for employee access and self-service authentication.
The deployment focuses on Core HR capabilities typical of the category, including a centralized HRIS for employee records, payroll processing workflows, benefits administration configuration, time and attendance tracking, and manager and employee self-service portals. Configuration work emphasized role-based access controls, standard HR workflows such as hire to retire and manager approvals, and built-in compliance reporting aligned to healthcare employer requirements.
Operational coverage is primarily the HR department and people managers supporting the organization’s US workforce, with the ADP Workforce Now application used to consolidate personnel data and operationalize routine HR processes. Governance practices align to centralized recordkeeping and policy enforcement, with HR ownership of system configuration and workflow governance, and the platform surfaced on the corporate website to provide direct employee access to ADP Workforce Now for Core HR and payroll functions.
|
Gold Coast Health Plan 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 | 2022 | 2022 |
In 2022, Gold Coast Health Plan deployed HealthRules Payer as its Core Admin Processing System to support a multi-vendor program rollout and a new D-SNP line of business. The implementation explicitly supported the D-SNP launch activities including the Knox Keene application, Part-D Pharmacy processes, and regulatory submissions to DMHC, DHCS, and CMS as part of concurrent bid and enrollment workstreams.
The deployment centered on HealthRules Payer for core administration while integrating CaseNet TruCare Medical Management for utilization management and care management functions, including UM, CM assessment and referrals, G&A, HECL, and PHM capabilities. The implementation also delivered member and provider Portals, a Call Center stack, Fulfillment, and a Mailroom system, with configuration addressing enrollment, adjudication, benefits administration, and clinical referral workflows consistent with a Core Admin Processing System.
Integration work included Edifecs EDI connectivity and interfaces to 170 Trading Partners including DHCS and delegated entities, plus integrations to internal systems tracked through ADO and MS Project. The program involved multiple vendors engaged via eight RFPs to install, configure, integrate, and deploy the HealthEdge HealthRules Payer Core Admin alongside CaseNet TruCare and peripheral systems, and included a Symplr 5.5.2 upgrade tied to credentialing and provider directory workflows.
Governance was organized under the Operations of the Future program with sustained project management and business analysis support. Operational scope covered provider contracting, provider relations, provider directory, credentialing, medical management, call center operations, and fulfillment, with project documentation and vendor coordination managed through ADO and MS Project to support phased rollout and regulatory submissions.
|
Gold Coast Health Plan Blockchain
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| Conduent | Legacy | Conduent Blockchain Solution | Blockchain Platform | Blockchain | n/a | 2019 | 2020 |
In 2019 Gold Coast Health Plan implemented Conduent Blockchain Solution to support its Medicaid managed care administration. The Conduent Blockchain Solution, classified as a Blockchain Platform, was engaged to automate claims processing workflows and leverage analytics to enhance member experience and improve payment accuracy, with implementation underway and expected to be complete in 2020.
Configuration work concentrated on instrumenting an immutable distributed ledger for auditable transaction history, deploying smart contract enabled rule enforcement for claims adjudication, and integrating analytics instrumentation to surface payment anomalies and member experience signals. The deployment emphasized claims orchestration, payment routing, and analytics modules that are characteristic of a Blockchain Platform, enabling automated claim validation and controlled payment execution within plan operations.
Operational coverage targeted Medicaid managed care administration functions across claims, finance, and member services, embedding blockchain governance into adjudication and payment workflows and prompting process adjustments to align operational roles with automated validation. Vendor statements highlighted the intent to enhance the member experience and ensure each claim is properly analyzed and efficiently paid, with the project scheduled for completion in 2020.
|
Gold Coast Health Plan CRM
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
|
|
|
|
Marketing Analytics | CRM |
|
2020 | 2020 |
|
Gold Coast Health Plan IaaS
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
|
|
|
|
Application Hosting and Computing Services | IaaS |
|
2018 | 2018 |
|
|
|
|
|
Content Delivery Network | IaaS |
|
2019 | 2019 |
|
IT Decision Makers and Key Stakeholders at Gold Coast Health Plan
| First Name | Last Name | Title | Function | Department | Phone | |
|---|---|---|---|---|---|---|
| No data found | ||||||
Apps Being Evaluated by Gold Coast Health Plan Executives
| Date | Company | Status | Vendor | Product | Category | Market |
|---|---|---|---|---|---|---|
| No data found | ||||||