Level I Capability Map

Level I Capability Map ()

Level I Capability Map


Member & Provider Management
Member Enrollment & Eligibility Management
Provider Network Management
Member Services & Experience Management
Claims, Utilization & Care Management
Care & Case Management
Utilization Management
Claims Processing & Adjudication
Products, Sales & Marketing
Actuarial Pricing & Risk Management
Product & Benefit Design
Finance, Actuarial & Revenue Operations
Actuarial Pricing & Risk Management
Compliance, Technology & Corporate Operations
Regulatory Compliance & Governance
Enterprise Technology & Data Management


		Member & Provider Management	Member Enrollment & Eligibility Management
		Member & Provider Management	Provider Network Management
		Member & Provider Management	Member Services & Experience Management
		Claims, Utilization & Care Management	Care & Case Management
		Claims, Utilization & Care Management	Utilization Management
		Claims, Utilization & Care Management	Claims Processing & Adjudication
		Products, Sales & Marketing	Actuarial Pricing & Risk Management
		Products, Sales & Marketing	Product & Benefit Design
		Finance, Actuarial & Revenue Operations	Actuarial Pricing & Risk Management
		Compliance, Technology & Corporate Operations	Regulatory Compliance & Governance
		Compliance, Technology & Corporate Operations	Enterprise Technology & Data Management