Case Study
Salesforce Health Cloud for MCO Member Management
Industry: Healthcare | Managed Care | CRM Modernization
The Challenge
A Medicaid Managed Care Organization (MCO) needed a modern member management platform that could centralize outreach, case notes, and eligibility verification across health plans.
Our Approach
Scopewell implemented Salesforce Health Cloud with payer-specific customizations, including eligibility verification, engagement history, and member segmentation.
Key Results
30% increase in successful outreach
Reduced call handling times through unified views
HIPAA-compliant encryption and logging
Ongoing Support
We continue optimizing workflows tied to NCQA and CMS reporting needs.