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    GovConnect for Public Sector: Provider Enrollment Salesforce Solution

     Info
    State health agencies can streamline enrollment of Medicaid-participating providers with automated credentialing, background checks, and compliance tracking using Deloitte’s Provider Enrollment Management System (PEMS) GovConnect solution. Deloitte’s solution is designed to accelerate onboarding while maintaining quality standards and regulatory compliance.

    Overview

    Healthcare programs need efficient provider networks while maintaining rigorous quality standards. Deloitte’s PEMS GovConnect solution delivers end-to-end credentialing workflows that guide Medicaid-participating providers through application, verification, and ongoing compliance requirements. Built on Salesforce Public Sector, the solution automates background checks, license verification, and document management.

    Staff gain unified workspaces for intake, review, and decision workflows with configurable business rules and approval chains. The system integrates with state databases, national registries, and third-party verification services to reduce manual effort and improve accuracy. Real-time dashboards provide visibility into application status, processing times, and compliance metrics across provider types.

    Deloitte brings healthcare experience and tested implementation patterns to configure workflows, integrate systems, and train teams. Our approach helps reduce enrollment cycle times, improves provider satisfaction, and provides audit-ready documentation for state and federal oversight requirements.

    This is a professional services engagement to configure and deploy GovConnect on Salesforce (not included), which can be purchased separately through the AWS Marketplace. Salesforce's Hyperforce infrastructure architecture runs on AWS services to provide a compliant, scalable, secure, and reliable platform tier.

    Highlights

    • Automated credentialing workflows with background checks and license verification.
    • Integration with state databases and national registries for real-time validation.
    • Compliance tracking and reporting dashboards for audit readiness.

    Details

    Delivery method

    Deployed on AWS

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