Sourcing talent for efficient clinical management

A real-world challenge


A large U.S. health insurer needed to find and retain U.S. registered nurses (USRNs) to perform tasks requiring in-depth clinical knowledge.

Meaningful solutions


Carelon Global Solutions' Clinical Build Program developed an agile and scalable model to source over 160 USRNs in the Philippines who specialize in the clinical skills required. To improve retention, these skilled workers were given career progression opportunities within the clinical space. This readily available talent pool conducted Medicare member outreach and fast-tracked a staggering number of claims reviews and prior authorizations.

The end result? Our team provided the knowledgeable and experienced staff required to help improve medical outcomes — while reducing costs — for our client.