Health Plans - Shearwater Health

Health Plans

Shearwater Health provides teams of dedicated nurses to help you achieve quality outcomes at a fraction of the cost.

Health Plans are under enormous pressure to improve clinical outcomes and lower healthcare costs

It’s costly and labor intensive to hire and retain skilled clinicians, It’s difficult to scale new workflows with ever-changing care models, and outsourced vendors can often create more work with quality issues

Work with Us

We believe outsourcing your clinical workflows should make your life easier.

We have 3,000 clinicians serving as true extensions of our client's domestic teams in the following areas:

1. Utilization Management
2. HEDIS
3. Risk Adjustment
4. Nurse Triage
5. Health Coaching and Care Coordination
6. Claim Management Support
7. Case Management

Work With Us

We utilize top clinical talent from the Philippines to serve the U.S. healthcare market.

Nursing Education Mirrors U.S. Curriculum
Proficient and Fluent in English
Culture of Service Excellence

We work within your IT healthcare platform

  • All data is stored in the US
  • We are proficient in 33 healthcare IT platforms
  • We are HITRUST and SOC1 & 2 Certified
shearwater health URAC HUM Accreditation

shearwater health URAC WCUM Accreditation


What Our Clients Say

Trusted by leaders in the industry to improve health outcomes

“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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