Healthcare
Member, pharmacy and clinical systems for health plans, pharmacy services providers and clinical software companies, built and supported by Smart Data, some of them for more than a decade.
Healthcare
$16M+
A routine Medicaid code update that surfaced $16M+ in lost revenue: in lost Medicaid revenue returned to the health plan
Hired to add a state-mandated code to a health plan’s nursing facility file, our team noticed the process was mishandling records. The plan confirmed it, filed corrections and recovered $16M+.
Health plans and Medicaid managed care
Member apps, care and assessment platforms, claims data and engineering teams for a Medicaid health plan we have supported for more than ten years.
Pharmacy services
Four migrated programs at a pharmaceutical services provider, held to one data quality standard.
Clinical and healthcare software
Clinical documentation, transcription and e-signature products for healthcare software companies, several of them in production for over a decade.
In-home care
Care management platforms that let field teams assess and support people at home, online or offline.
Where healthcare work starts
Most healthcare engagements begin with one of three problems. Each one is a different first conversation.
Data you cannot trust is costing you claims
Gaps in eligibility, assessment and claims data often go unnoticed because nothing technically fails. We trace where records break, fix the pipeline and put monitoring on it so the loss does not come back.
A vendor tool no longer fits the program
When a third-party system costs more every year and still forces workarounds, we build the platform around your workflows, on the deadline the state sets.
AI is on the roadmap and PHI is in the data
Before an assistant goes near patient or member data, we decide what it may read, who reviews its output and how every answer traces back to a record.
What we build
Custom software and data platforms for clinical and administrative work, from first build to long-term support.
Care and case management
Platforms for care plans, field assessments and treatment tracking, with offline access for in-home and remote care teams.
Member and patient apps
HIPAA-governed web portals and progressive web apps for members, patients and providers, including single apps that replace separate mobile and portal builds.
Healthcare data and analytics
Pipelines, warehousing and reporting that bring claims, eligibility and clinical data into one governed place your teams can query.
Data quality and governance
Monitored pipelines, onboarding standards and documentation that keep migrated programs reliable long after the migration ends.
Integration and modernization
Older clinical and administrative systems moved onto current platforms and connected through HL7 and APIs, without disrupting the people who use them.
AI and automation
AI on governed patient and member data: answers that trace back to the record they came from, document search with sources cited and workflow automation, with a person in the loop wherever a decision touches care.
Governance first
Every system we build for healthcare is held to HIPAA from the first design decision. When a program adds analytics or AI, the same data handling rules apply, and they are agreed in writing before the work starts.
Each user, report or assistant sees only the records that person is allowed to see.
Anything a system generates cites the record it came from.
Who asked, what was read and what was returned.
How we deliver
Monitoring, fixes, updates and enhancements on a monthly plan, with response times set by priority from P1 to P4.
Step 1
A scoped project, engineers added to your team or a direct hire. We help you decide.
Step 2
Onshore, offshore or a mix, matched to your timeline, stack and budget.
Step 3
We work within your environments, your review process and your compliance rules.
Step 4
Regular demos and check-ins, with room to change course when the program changes.
Case studies
Health plans, pharmacy services and clinical software, in production and in use.
HealthcareA 22-month React Remix PWA for one of the largest Medicaid managed care organizations, replacing the separate mobile app and member portal with one app. Smart Data is the engineering partner.
Healthcare
Turnover had taken the onboarding knowledge with it. Recurring data quality issues across SSIS and MuleSoft feeds were fixed, onboarding was documented and four programs were migrated.
Healthcare
15+ yrs
iDocData, rebuilt as a clinical workflow platform physicians configure themselves, with their own surveys, automated patient outreach and Epic HL7 integration. In production across multiple clinical sites for 15+ years.
Clinical documentation
eDoc’s Onboard, Scriptus, Mobile and eSign products, modernized on Laravel, AWS and Flutter for compliant remote healthcare work, by the same small team for nearly ten years.
Medicaid · Home careOhio’s largest healthcare plan provider retired a costly third-party system for a custom Medicaid waiver platform, built by Smart Data.
From our healthcare clients
“We needed a partner, not a vendor. I wanted to pick up the phone and speak with someone who understood my business and the technologies I worked with.”
Questions
Health plans and Medicaid managed care organizations, pharmaceutical services providers, clinical documentation and healthcare IT companies, and in-home care providers. Most have systems already in production that the new work has to fit around.
Yes. We build on or integrate with care, case and claims management systems, connect clinical systems through HL7 and APIs and modernize older applications without a disruptive go-live.
Every healthcare system we build is held to HIPAA from the first design decision. Each person, report or assistant sees only the records it is allowed to see, requests are logged and the data handling rules are agreed in writing before the work starts.
After the data is ready. We start with data readiness and governance, then pilot on your own data with defined access and a human review step before anything reaches patients or members.
Yes. Through managed services we own monitoring, support and upgrades after launch. When you need more hands, our engineers work inside your team.
Industries
ERP, shop-floor and supplier data on one platform, so plant reporting and finance reporting reconcile.
Clients include
Order, inventory, credit and customer data connected across portals, branches and the platforms behind them.
Clients include
Bank data platforms, reporting that holds up to an audit and managed support for the financial systems the business runs on.
Clients include
Claims, member and policy systems for health plans and insurers.
Clients include
Next step
What runs today, which rules it answers to and the date the state or the business has set.
Scope comes from your systems as they are, before anything is priced.
Covering scope, team, approach and price.
SQL Server
React
TypeScript
SSIS
MuleSoft
Java
AWS
Flutter
MySQL
.NET Core
