Healthcare At Protiviti, we know healthcare. Our global reach continues to expand at a rapid pace as we serve leading healthcare organisations amid accelerating change. We know industry changes that are imminent and their drivers. And, we know how to advise our clients to effectively address industry changes to best manage, protect and create substantial value in their healthcare delivery systems. Our team of experienced professionals and our Healthcare Center of Excellence are your resources for understanding and managing the multitude of changes and risks affecting healthcare. Whether your organisation’s chief concern is payment reform, regulatory compliance, revenue growth, cost management, cybersecurity or digital transformation, Protiviti is here for you.Protiviti Healthcare also serves the Pharmaceutical and Life Sciences Industry. Learn more here. 2024 Top Risks in the Healthcare Industry Identify the potential risks in healthcare sector with Protiviti’s top risk survey 2024. Download the report to address challenges and strengthen your strategy. Learn more View infographic Challenges and Opportunities facing the Healthcare Industry Protiviti's healthcare industry team helps provider and payer leaders make better decisions by managing the risks they face today, as well as illuminating the risks and unforeseen consequences inherent in their strategies for future growth and opportunity. Read recent insights What we do Read recent insights Sectors we serve Our services Leadership Sectors we serve Protiviti's healthcare industry team helps payer and provider leaders make better decisions by managing the risks they face today, as well as illuminating the risks and unforeseen consequences inherent in their strategies for future growth and opportunity Pro Briefcase Healthcare Providers Protiviti brings deep industry knowledge and skills to help healthcare provider organisations manage risks and maintain their financial health. Our tailored solutions span clinical excellence, digital & advanced analytics, enterprise applications/ ERP modernisation, financial & operational performance, information tech... Pro Document Consent Healthcare Payers Specialise in helping health plans and PBMs across Medicare, Medicaid, and commercial lines of business operationalise and execute solutions to enhance business performance and drive sustainable growth. Whether we are assisting with strategic planning, revenue enhancement, cost savings, or process improvement initiativ... Our services for Healthcare organisations: Healthcare is a strategic industry at Protiviti with dedicated professionals and a Healthcare Center of Excellence that is organised to innovate industry-specific solutions with a primary goal of becoming a mission-critical strategic partner to each of the organisations we serve. Meet the demands of the ever-changing business environment Healthcare Internal Audit and Financial Advisory Protiviti helps healthcare organisations make the promise of digital transformation a reality. We help payers and providers alike uncover a deep understanding of the risks and opportunities presented by emerging technologies and think creatively about how these technologies can be used to improve performance and ensure interoperability. Avenues of rapid transformation are driving the need for consistent innovation throughout healthcare organisations that strive for a competitive market presence. In alignment with the ongoing push towards consumerism – and viewing patients/members/providers as true “customers”– Protiviti helps with strategy development and deployment in creating a true “Digital Front Door” or “Virtual First Care” experience while aligning with overarching population health efforts. Protiviti supports our clients in recognising and effectively responding to the need for consistent innovation through training, discovery and ideation workshops, prototyping, Customer Experience (CX) initiatives, and implementation. Healthcare Digital Services include: IA Assurance and Advisory Services IT Audits Next-Gen Auditing & Analytics IA Programme Assessments & Benchmarking Risk Assessment & Audit Plan Development Become more innovative and explore new technologies Healthcare Risk & Compliance Protiviti provides solutions to help providers and payers ensure they have a robust, effective compliance programme to prevent and detect instances and events of legal and regulatory violations. Healthcare Risk & Compliance services includes: Co-sourcing/outsourcing Assessment & Remediation Audits & Investigations Compliance Programme Effectiveness Compliance Projects Compliance Risk Assessments Enterprise Risk Management Independent Review Organisations Interim Compliance Officer / Supplemental Staffing Become more innovative and explore new technologies We help you thrive amid the numerous challenges Healthcare Technology Consulting Protiviti provides agile services through a unique, blended model of flexible staffing services and consulting expertise whether your need is project, programme, or skill based in nature. From coordination and management of IT projects to full outsourcing of labor-intensive technology support and implementation services, we help you thrive amid the numerous challenges in the following areas so you can focus on your strategic initiatives. Healthcare Technology Consulting services include: Cloud Solutions Compliance and Frameworks Custom Development Services Cybersecurity Data and Advanced Analytics Emerging Technologies Enterprise Application Solutions Managed / Outsourced Solutions Technology Strategy and Operations Transform business processes and drive sustainable change Healthcare Business Performance Improvement Financial & Operational Performance services increase enterprise value by transforming business processes and driving sustainable change. The best Finance, Revenue Cycle, and Performance Management professionals deliver proven results in challenging environments by effectively leveraging technology and leading practices, using tested and proven programme management techniques and capabilities, and bringing an intense focus on change management. Concurrently, Protiviti and Robert Half partner to share the workload/burden with our clients to address performance or project issues in key business functions while also filling operational roles in a unique arrangement, using proven results-oriented professionals. Healthcare Business Performance Improvement services include: Clinical Excellence Finance Process Improvement Managed Services Revenue Cycle Redesign Supply Chain Transform business processes and drive sustainable change Avenues of rapid transformation are driving the need for consistent innovation Healthcare Digital Innovation Protiviti helps healthcare organisations make the promise of digital transformation a reality. We help organisations uncover a deep understanding of the risks and opportunities presented by emerging technologies and think creatively about how these technologies can be used to improve performance. Avenues of rapid transformation are driving the need for consistent innovation throughout health systems that strive for a competitive market presence. Protiviti supports our clients in recognising and effectively responding to the need for consistent innovation through training, discovery and ideation workshops, prototyping, and implementation and execution. Healthcare Digital Transformation Services include: Customer Care and Service Automation Customer and Digital Transformation Strategy Customer Experience Innovation Creative and Design Content Sales and Marketing Acceleration Digital Experience Platforms Leadership Andrea Rista Andrea Rista is Director at Protiviti Italy and Protiviti Bulgaria, with focus on Business Risk Consulting, Corporate Governance and Internal Audit services.In Protiviti since 2004, he developed strong skills in internal audit, risk management, corporate governance, and ... Learn more Stan Oparanov Stan Oparanov is Director at Protiviti Milan and Protiviti Bulgaria. Stan is one of the leaders of Protiviti Bulgaria and focuses on the use of technology and innovation in management consulting, risk management, compliance and internal audit.He has strong ... Learn more Featured insights SURVEY Navigating critical healthcare areas through internal audit Discover key internal audit plan priorities for healthcare organisations from Protiviti and AHIA's latest study. Navigate critical areas through auditing. SURVEY Healthcare Internal Auditors Prioritise Cybersecurity, Business Performance and Technology Modernisation According to the latest Healthcare Internal Audit Plan Priorities Survey conducted by Protiviti and the Association of Healthcare Internal Auditors (AHIA), the top audit priorities for healthcare organizations in 2023 are encompassed in seven themes... WHITEPAPER Revenue Integrity: Leveraging Data to Enhance Collaboration Across the Revenue Cycle In today’s complex healthcare environment, hospitals and health systems and other provider organizations have little room for error within the revenue cycle. Faced with tight margins, growing labor and supply costs, and volatile markets, every dollar... WHITEPAPER Price Transparency Compliance Price transparency compliance continues to elude hospitals two years after its effective date on January 1, 2021. While the Hospital Price Transparency (HPT) rule was met with great debate within the industry, the Centers for Medicare and Medicaid... WHITEPAPER Price Transparency MRF Requirements Hospital Price Transparency Rule - CMS has finalized new changes to increase standardization of the machine-readable files (MRF) to help deliver on the promise of hospital price transparency. Ensure that your hospital complies to enhance the public’s... Button Button Global Health Services Company Modernises Data and Applications with Microsoft A global health services company needed to execute on its corporate promise to deliver affordability and convenience to its patients. However, the company discovered that there was a disconnect between that promise and intended delivery. Read more Cloud-based Healthcare Analytics Company Expands Solutions and Customers d2i is a cloud-based healthcare analytics solutions firm that’s on the move. The company provides an unparalleled data analytics application that aggregates, harmonizes and enriches diverse data sources to some of the largest hospital emergency departments (ED) in the United States. Read more