W
WellSense Health Plan Tech Stack
Nonprofit health plan serving Medicare, Medicaid, and individual members across MA and NH
WellSense Health Plan operates a nonprofit health insurance business across three lines: Medicare, Medicaid, and Individual & Family plans in Massachusetts and New Hampshire. The stack is clinical-heavy—Epic, Allscripts, Cerner for care delivery—paired with analytics tools (SAS, Tableau, Power BI) focused on quality reporting and population health. Hiring is concentrated in clinical roles (23 positions) with a secondary push in healthcare operations and data, reflecting the company's dual focus on HEDIS performance improvement and reducing readmissions.
Tech Stack 10 technologies
What WellSense Health Plan Is Building
◆Challenges
- Improving hedis performance
- Preventing hospital readmissions
- Lower overall cost of care
- Improving member outcomes
- Improve quality of care
- Identifying gaps in quality performance
- Compliance with regulatory standards
- Complex contractual and member/provider issues
- Provider record issues
- Improving chart procurement rate
▲Active Projects
- Clinical initiatives to support department quality improvement and utilization management goals
- Clinical services training initiatives
- Supplier oversight program
- Behavioral health program development
- Business solutions for population health and health equity accreditation
- Centralized pharmacy performance dashboard
- Regulatory reporting process
- Pbm part d claims submission
- Annual hedis reporting cycle
- Dashboard development for quality measures
Hiring Activity
40 roles · 10 in 30d
Department
Seniority
Notable leadership hires: Medical Director
Company intelligence
