A DeWitt Client Result

Organizational redesign optimizes business alignment and performance

Organizational redesign optimizes business alignment and performance

Working collaboratively with key stakeholders of a health payer (i.e., insurance provider), DeWitt helped the organization develop a new operational model that maximized its operational performance and increase the value services being provided to its strategic business partners.

TL;DR

Financial pressures stemming from commitments to its partners, along with capital pressures and health-reform initiatives, amplified the need for greater efficiency at a health payer. The organization was growing significantly and required a new approach to meet demand. Business leadership felt it was critical to position the team to ensure they continued to optimize the business value of the group in providing services to the overall enterprise.

The team worked with key stakeholders to remove barriers, challenge critical assumptions, and articulate a future state (to-be) vision. In-depth collaboration with the organization allowed the development of numerous viable organizational alternatives that align with key business drivers, organizational capabilities, and conform to leading design principles. The client led the committee structure, and other vital players worked together to achieve project outcomes.

The successful implementation of the new operational model enabled the organization to retain its strategic partners, grow services, and increase profitability.

Client Profile

This health payer serves over one million members with a mission to improve the health and wellness of the diverse communities they serve. Their portfolio includes employer-sponsored plans, individual plans, Medicaid plans, Medicare plans, and dual-eligible plans.

The Opportunity

The organization was growing significantly and required a new approach. Business leadership felt it was critical to position the team to ensure they continued to optimize the business value of the group in providing services to the overall enterprise. They recognized that organization, skills, and competencies may need to change in the future, and it required a holistic roadmap for making these changes. DeWitt worked closely with the client’s leadership team, who requested the optimization and alignment of analysts and support teams within the information technology organization to maximize operational performance and the value of services provided to their strategic business partners.

The Solution

The team worked collaboratively with key stakeholders to remove barriers, challenge critical assumptions, and articulate a future state (to-be) vision—providing clarity required to define success and chart a realistic path to accomplish it. We leveraged an array of proprietary assets to assess staff skills and interests to determine the fundamental people changes and transitions required to move to the new organization

We then leveraged additional assets to inform the organizational design, including organizational capabilities lists and leading practice models. In-depth collaboration with the organization allowed the development of numerous viable future state organizational structure alternatives that align with key business drivers, organizational capabilities, and conform to leading design principles.

The project team increased client success through an organization gap analysis between the “as is” and “to be” states to focus on the structure, roles, capabilities, and process needed to achieve the future vision.

The Results

DeWitt worked collaboratively with leadership at the organization to establish an objective and defensible organizational design that enabled their future state business operations. Key performance indicators established a baseline to measure the skills and competencies of business operations teams. Metrics across the new organization are showing increased customer satisfaction and higher team performance.

The successful implementation of the new operational model enabled the organization to retain its strategic partners, grow services, and increase profitability.

Major Deliverable Summary

Future State Vision

A vision of the that aligns with the future state business and IT strategic objectives.

Operational Redesign

A fully vetted next state organizational design, including baseline skills and competencies.

Gap Analysis

Analysis and recommendations to increase success during transition from current to future state.

Please Note: We take our clients’ confidentiality seriously and omit any personal or confidential information from our client reports. Yet, even without names, the results speak for themselves.

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