Health Plan Partners - Shearwater Health

Health Plan Partners

You have a great product or service but find it difficult to scale because of a lack of clinical resources. Sound familiar?

Shearwater Health provides remote teams of nurses dedicated to all your clinical and quality services lines that give you higher margins and profitability.

Finding quality clinical resources to scale your operations is time-consuming and costly.

To deliver great outcomes you need to produce at a high volume while keeping costs low. We know you need to scale with quality to your Health Plan clients. We’re here to expand the size and impact of your clinical teams.

Work with Us

Remove the stress to fill clinical positions and deliver a full-service solution with the ability to deliver quality outcomes at scale.

Utilization Management

2 Million Annual Reviews

Quality Performance

99% quality rating for medical record reviews in HEDIS

Risk Adjustment

36% cost reduction in Risk Adjustment Coding

Care Management

45% reduction in ER visits due to Health Coaching and Care Coordination

A True Extension of Your Team

  • Over 3,000 clinicians worldwide solving medical and administrative problems every hour of every day
  • Exclusive focus on healthcare workflows and companies
  • Secure facilities with zero data or security breaches
shearwater health URAC HUM Accreditation

shearwater health URAC WCUM Accreditation

When you work with us, we’ll make sure you have

1. Meaningful collaboration to build customized training programs and workflows for your product or service
2. Scale production and impact by focusing on quality
3. Detailed reporting on quality and efficiency to measure impact

What Our Clients Say

We work with 20+ Health Plan Partner Companies

“During a difficult HEDIS season, the one thing that went right was the quality performance of Shearwater.”

“Due to the high quality being performed, you've reduced our rework loop from 12% to 3%”

“Your systems and processes continue to help us improve and grow.”


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Contact Us Today to Build Your Clinical Team


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