The Health Plan (THP) Tech Stack
Managed care health plan serving mid-Atlantic employers and members
The Health Plan operates a regional HMO serving employers and individual members across the mid-Atlantic and select national markets. The stack is firmly .NET/Azure (Entity Framework, NET Core, Azure DevOps, SQL Server), paired with Power BI for analytics and Dynamics GP for financial management—a mature, enterprise-aligned infrastructure built for regulated healthcare operations. Active projects span clinical governance (practice guidelines, behavioral health utilization management), system architecture hardening, and government program expansion, while pain points cluster around care coordination and claim processing efficiency, suggesting ongoing operational scaling challenges.
Tech Stack 18 technologies
What The Health Plan (THP) Is Building
◆Challenges
- Cost-effective care
- Streamlining referrals
- Audit preparation
- Prevent readmissions
- Manage high cost care
- Coordinate care transitions
- Seamless system interoperability
- Secure scalable integration
- Network settlement processing
- Manual claim entry
▲Active Projects
- Bh utilization management program
- Clinical practice guidelines development
- Proprietary criteria procurement
- Secure scalable system architecture design
- Ci/cd pipeline optimization
- Technology adoption for productivity
- Implementing new lines of businesses related to government programs
- Community outreach liaison initiatives
- Member advisory committee initiatives
- Quality reporting improvement initiative
Hiring Activity
Department
Seniority
Notable leadership hires: Behavioral Health Medical Director
