What We Do
At Optimus, we specialize in comprehensive solutions across the spectrum of employee benefits and consulting services. Our expertise spans:
Employee Benefits Consulting, Design, and Compliance:
We provide strategic guidance and tailored solutions to design and optimize employee benefits packages while ensuring full compliance with regulations.
Advanced Data Analytics:
Utilizing cutting-edge analytics, we derive actionable insights to enhance decision-making and drive efficiency in benefits management.
Pharmacy Design, Sourcing, and Management:
Optimizing pharmacy benefits through innovative design, strategic sourcing, and meticulous management to control costs and improve outcomes.
Claims Management and Quality Control:
We implement robust systems and processes to manage claims effectively, ensuring accuracy, transparency, and cost containment.
Executive Benefits:
Tailored benefit solutions for executives, addressing unique needs and enhancing retention through competitive packages.
Voluntary Benefits:
Designing voluntary benefit programs that complement core offerings, providing additional value and choice to employees.
Enrollment Navigation:
Guiding employees through the complexities of benefit enrollment with user-friendly tools and expert support.
Retirement Planning and Consulting:
Comprehensive retirement planning services, including strategic consulting and investment advice to secure financial futures.
Ancillary Benefits Design:
Customizing ancillary benefits such as dental, vision, and wellness programs to enhance overall employee well-being and satisfaction.
At Optimus, we combine our expertise with a client-centric approach to deliver solutions that are innovative, effective, and aligned with your organizational goals. Partner with us to elevate your employee benefits strategy and achieve lasting success.
Solutions
Individual Coverage Health Reimbursement Arrangement (ICHRA)
In the realm of benefits, it's clear that a one-size-fits-all approach is outdated. Companies now have the opportunity to provide flexible, tailored healthcare benefits that cater to the unique needs of a diverse workforce.
This type of health reimbursement arrangement allows employers to reimburse employees for individual health insurance premiums and qualified medical expenses tax-free. This arrangement was established as part of a regulatory change to provide employers greater flexibility in offering health benefits to their employees.
PayIQ
PayIQ is an innovative medical claim pre-payment technology leveraging artificial intelligence (AI) to revolutionize the accuracy and efficiency of claims processing. By analyzing data in real-time, PayIQ verifies the correctness of claim payments and ensures adherence of Third Party Administrator (TPA) adjudication practices. This proactive approach not only safeguards plan fiduciaries by preventing overcharges but also enhances the protection of plan members' financial interests. PayIQ represents a transformative solution in healthcare finance, empowering organizations to optimize cost management while prioritizing fair and compliant claim settlements.
CensusIQ
CensusIQ is a proprietary database encompassing comprehensive information on over 350 million Americans. Utilizing advanced CensusIQ technology, we harness this vast dataset to extract valuable insights into claims conditions, health trends, and prescription medication costs specific to employer populations, using just their employee census data.
It's important to note that while our system houses this extensive information, we strictly adhere to de-identification protocols when utilizing it for predictive analytics. This approach ensures privacy and confidentiality while empowering us to deliver precise and actionable intelligence that supports informed decision-making for our clients. CensusIQ represents a powerful tool in optimizing healthcare strategies, driving efficiency, and enhancing outcomes for employer-sponsored health plans.
OptimusAVISO this will be it’s own page
Introducing our comprehensive health analytics platform: Gain deep insights and predictive analytics effortlessly with our all-in-one solution. Utilize clinical, financial, and experiential reporting to monitor trends and pinpoint high-cost claimants, identifying gaps in care. Analyze cost trends, proactively manage emerging risks, and ensure compliance seamlessly.
DATA MANAGEMENT
Where Speed and Precision Meet
Data management is the foundation of any successful analytics platform. We will secure and enrich your data in less than 60 days, 4X faster than our competitors. And we’ll guarantee the safety and accuracy of all data we manage within our platform.
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