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Case Study

Anthem

Anthem is a premier health insurance provider dedicated to improving lives and strengthening communities. In Indiana, Anthem manages high-priority Medicaid contracts that require precise execution, specialized talent, and a deep understanding of state-mandated healthcare programs.

The Challenge: Complexity at Scale

Managing Medicaid contracts involves navigating a labyrinth of state regulations and strict compliance deadlines.

Below are several critical hurdles Anthem faced in maintaining their Indiana Medicaid portfolio:

Regulatory Rigor

The need to meet specific requirements for the State Personnel Department’s Third-Party Authorization (TPA) program.

Workforce Risks

Potential service gaps for Medicaid members if contingent staffing was not managed with high levels of consistency.

Administrative Weight

The burden of managing multiple subcontractors while maintaining a unified standard of excellence.

Contract Continuity

Ensuring that workforce turnover did not disrupt long-term state contract goals.

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Team of Nurses hired by Repucare
Billie IEDC
Hospital IU Health
Hospital Team meeting about Repucare

Our Solution

Anthem required more than a staffing vendor; they needed an operational partner capable of managing the high-compliance environment of Indiana Medicaid.

We were selected for our unique ability to integrate project management with talent acquisition, ensuring that complex Third-Party Authorization programs remained compliant and fully staffed for over a decade. 

We implemented a comprehensive Program Management and Staffing Model that integrated directly with Anthem’s operational team, focusing on four core pillars:

 

 

1. Specialized Talent Placement:

Identifying and vetting experts for Medicaid administration and TPA programs.

2. TPA Oversight:
Managing the administrative heavy lifting for the State Personnel Department to ensure all authorizations were processed with maximum efficiency.

3. Subcontractor Management: 
Serving as a central hub for all project subcontractors to streamline communication and reporting for Anthem.

4. Audit-Ready Compliance:

Implementing a rigid internal auditing process to ensure every staff member and subcontractor met every state-mandated standard.

The Results

The longevity of this 15-year partnership is a testament to the sustained value delivered to the Indiana healthcare landscape.

  • Uninterrupted Continuity: We achieved a near-seamless retention rate among contingent staff, preventing service "dark periods" during critical contract transitions.
  • Operational Efficiency: Our management of the TPA program significantly reduced the administrative burden on Anthem’s internal teams.
  • Subcontractor Optimization: We created a unified management structure that improved the performance and accountability of all third-party contributors.
  • Strategic Confidence: By establishing a reliable pipeline of talent, RepuCare allowed Anthem to confidently bid on and win successive state contracts.
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Conclusion: A Legacy of Stability and Strategic Alignment

The 15-year collaboration between RepuCare and Anthem serves as a blueprint for how a strategic partnership can transcend traditional vendor-client boundaries.

In the high-stakes arena of government healthcare contracting, where regulatory compliance and service continuity are non-negotiable, RepuCare provided more than just personnel; they delivered the operational infrastructure required for long-term success.

By evolving from a specialized staffing provider into a comprehensive program management partner, RepuCare effectively de-risked Anthem’s Indiana Medicaid operations. This stability allowed Anthem to focus on its core mission of improving member health outcomes while remaining confident that its administrative and staffing obligations were being met with 100% compliance.

Ultimately, the partnership demonstrates that when operational excellence is paired with deep local expertise, the result is a resilient program capable of navigating the complexities of public health for over a decade.

Strategic Focus

The RepuCare Advantage

Operational Outcome
Talent Acquisition

Specialized sourcing for Indiana Medicaid roles

Long-term workforce stability with zero gaps
Compliance Oversight

Rigorous vetting and State TPA alignment

100% adherence to regulatory mandates
Vendor Management

Serving as the central hub for all subcontractors

Streamlined communication and reporting
Administrative Load

Full management of authorization workflows

Significant reduction in Anthem's internal burden

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