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Development of a Scalable Broker Management Platform for Medicare Contracting
  1. case
  2. Development of a Scalable Broker Management Platform for Medicare Contracting

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Development of a Scalable Broker Management Platform for Medicare Contracting

streaver.com
Insurance
Healthcare
Information Technology

Challenges in Medicare Contracting Data Management

The US Medicare Advantage market faces significant inefficiencies due to manual data management across 800+ insurance carriers and FMOs. Handling 2.3M+ annual contracts results in time-consuming, error-prone processes that hinder operational efficiency and stakeholder collaboration.

About the Client

A SaaS company specializing in backoffice solutions for Medicare Advantage market contracting processes

Objectives for the New Broker Management Platform

  • Create a unified platform for end-to-end contract management
  • Reduce manual data entry errors by 70%
  • Improve processing speed for 2.3M+ annual contracts
  • Implement a multi-tenant architecture for scalability
  • Enhance user experience through modern interface design

Core System Functionalities

  • Lead generation and tracking system
  • Digital contract management workflow
  • Real-time document collaboration tools
  • Automated enrollment processing
  • Multi-tenant administration dashboard
  • API integrations for carrier networks
  • Error detection and correction mechanisms

Technology Stack Requirements

Next.js with TypeScript
TailwindCSS
Framer Motion
Recoil state management
Hasura GraphQL
Redis caching
Docker microservices
AWS cloud infrastructure

System Integration Needs

  • Real-time document editing (Slate/Yjs)
  • Video/audio communication (Vonage API)
  • Error tracking (Sentry)
  • Third-party carrier databases
  • Electronic signature services

Non-Functional Requirements

  • Support 10x concurrent user growth
  • 99.9% system uptime SLA
  • HIPAA compliance for healthcare data
  • Sub-200ms API response times
  • Automated CI/CD pipelines

Expected Business Impact of the Platform

Implementation of this platform is projected to reduce contract processing time by 60%, decrease administrative costs by 40%, and enable 3x faster onboarding of new brokers and carriers. The modernized system will support rapid scaling while maintaining compliance with healthcare regulations.

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