Success Story

Customer Relationship Management (CRM)
The objective was to create a 360˚ view of all relevant stakeholders and their engagement across the health plan.

The Story

A health plan serving almost a million beneficiaries needed a way to understand and evaluate the efficacy of local engagement efforts. Stakeholders were spread across hundreds of organizations and thousands of individual contacts throughout a large and diverse geography.

The leadership team had little insight into how, when, and where interaction was happening and more importantly if member and stakeholder needs were being met as a result. At the team level, staff was duplicating efforts, not communicating both within and across teams, and frustrating stakeholders with repetitiveness and lack of resolution.

 

Bright red side that says Emergency in white letters. There is a red brick building in the background.

Local and State Elected Officials, Public Health Department Staff, and Department of Social Services Staff

Law Enforcement and School Systems

Advocacy Groups, Community-Based Organizations, and Non-Profit Organizations

Community-based Managed Care Staff, Communications and Marketing Staff, Executive Leadership, and Public Affairs Staff

Black female on a headset and in front of a computer screen. The woman is touching the headset on her left ear.

The Approach

We knew that a traditional customer service model could be leveraged to set an execute on a unified goal for community-based operations. We began with understanding the needs of both staff and end stakeholders, mapping the different styles and processes within each team, and gaining consensus on key areas of focus. In addition to individual points of contact, we identified at least fifty different and wholly uncoordinated mass communication channels.

We developed a phased customer relationship management (CRM) initiative, management and deployed it over an eighteen-month period utilizing change management methodology. Throughout the process, we focused on transparency, visibility, ease of adoption, balancing administrative burden and standardized reporting.

The Results

Ultimately, we gained significant visibility into our community relationships. At the operational level, we were able to measure the effectiveness of events and trainings and deploy resources accordingly.

Our internal collaboration improved, and we were able to implement a closed-loop approach to resolving concerns. Across the organization, visibility into local interactions and issues enabled more intelligent and solutions-focused conversations.

At the leadership level, tracking sentiment for each interaction enabled a real-time dashboard where issues and trends could be identified and mitigated. This also informed gaps in engagement and issues management and enabled leaders to more effectively deploy their staff.

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