Strategic advisory for
health plans
The hard part isn’t the problem. It’s what to do next. PGS helps health plans work through sales, distribution, BPO and partner challenges.
Bring us the problem. We’ll figure out the engagement later.
Not every problem needs a six-month engagement.
Sometimes you need a second set of eyes, an owner for a stalled initiative, or capacity to hit a deadline.
What might you call us about?
- You need to pick a new telesales, BPO, or contact center partner.
- Your sales operation isn’t performing and you want a fresh assessment.
- You’re preparing an RFP but don’t have the people to run it.
- A vendor isn’t working, but you’re not sure whether to fix or replace.
- You’re entering a new market or launching a product and need to think through sales, distribution, and ops.
- Regulatory change has created a long list of things that need to happen quickly.
- You need someone who can translate between executive strategy and the people doing the work.
- Your team knows what to do but needs another pair of hands to get it across the line.
- Or the problem doesn’t fit any of these. That works too.
Where sales strategy meets execution.
We work where sales, distribution, BPO, partner, and change meet. That’s where strategy either becomes members or doesn’t.
Sales & distribution
Strategy, telesales, broker channels, enrollment ops, performance assessment. How you reach members and how well it works.
BPO & contact center strategy
Sourcing, evaluation, RFPs, transitions, and optimization for BPO and contact center partners.
Readiness & change
Hands-on support when something significant is changing: a new market, a regulatory shift, or a vendor transition.
Vendor & partner strategy
Finding, evaluating, and fixing the vendors and partners health plans rely on to execute.
Special projects & interim support
Experienced help for work that doesn’t fit anyone’s existing job. Lead an initiative, fill a capacity gap, bring in expertise for a defined stretch.
We’ve bought it, built it, managed it, and sold it. We know the difference.
Health plan decisions don’t happen in a vacuum. A good idea has to survive operations, compliance, budget, and timing.
Strategy on paper
still has to work in operations.
The right vendor
still has to perform.
A great initiative
still has to survive compliance, budget, and timing.
Our experience across health plans, BPOs, and their partners means we see a problem from every side, including the side responsible for making it work after the strategy is approved.
Use us where you need us.
PGS engagements are designed around the work rather than a predetermined
consulting model.
Strategic advisor
Experienced outside perspective for an executive team, opportunity, challenge, or important decision.
Subject-matter expert
Specialized health plan sales, distribution, BPO, partner, or growth expertise added to an existing team.
Embedded support
More consistent involvement for a defined period when an organization needs ongoing expertise without adding a permanent role.
Project lead
Ownership or leadership of a defined initiative with a clear objective and timeline.
Extra capacity
Experienced hands-on support when the work needs to get done and the internal team simply doesn’t have enough bandwidth.
The engagement should fit the work, not the other way around.
A room built for health plan leaders.
PGS hosts the Medicarians Health Plan Executive Forum, a curated community for executives leading sales, marketing, and product inside health plans.
Peer conversation, not vendor pitching. Real issues, particularly around Medicare Advantage and ACA.
Membership is by invitation, to protect the quality of the room.
What are you trying to figure out or get done?
You don’t need to define the engagement before reaching out.
Tell us what’s happening, what isn’t working, or what you’re trying to accomplish.
We’ll start there.