Paradigm IT

Project Delivery Excellence

Trusted Technology Execution Across Critical Health Plan Needs
At Paradigm IT, we specialize in delivering complex healthcare IT projects with speed, accuracy, and long-term impact. From enterprise-level claims system migrations to member-focused ACA rollouts, we’ve helped our clients achieve major milestones under tight timelines and compliance standards.
Project Highlights:
ACA Implementation for Over 1 Million Members

Successfully configured Facets to support Affordable Care Act enrollment across multiple states—enabling rapid onboarding, claims processing, and compliance tracking for over a million members.
CMS Reconciliation Support

Helped clients streamline and automate CMS monthly reconciliation processes—improving accuracy, reporting, and audit readiness.
Provider Data Migration to Facets

Managed complete provider data migration from legacy systems to Facets, ensuring data integrity, taxonomy alignment, and operational continuity.
Medicaid Product Line Launch

Designed and configured Medicaid product lines in new state markets, including benefit setup, pricing logic, and claim agreement builds for age-based fee structures.
Mentoring & Operational Uplift

Provided end-to-end mentoring and documentation support for internal teams—enabling long-term operational independence and successful knowledge transfer.
End-to-End Facets Configuration Projects

Delivered full project lifecycle—from requirements gathering to go-live—for health plans expanding in both ACA and commercial markets.
Compliance-Driven Enhancements

Implemented urgent system updates and process changes to meet new regulatory requirements within tight deadlines.

What We Bring to Every Project

  • Deep expertise in TriZetto’s Facets platform
  • Cross-functional teams who understand healthcare ops and tech
  • Agile delivery with formal documentation and testing processes
  • A track record of rescuing delayed or complex projects

Need help delivering your next critical project?

Contact Us to speak with a delivery lead or request a capabilities overview.
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