The Menges Group delivers operational support to Managed Care Organizations (MCOs) including project management, program design and implementation, and interim staffing. Our in-house team is augmented by dozens of specialized experts, many of whom have served in executive roles at MCOs.
We partner with plans on operational design, readiness, and optimization — helping translate strategy into measurable improvements in quality, access, and financial performance. Our team has deep experience across care management operations, provider network strategy, utilization management, claims and payment operations, and readiness for new contract periods.
We provide hands-on operational support across the enterprise to help MCOs improve performance, scale new programs, and successfully stand up new lines of business. Core services include:
- Program design and implementation (care management, behavioral health integration, LTSS programs)
- Project and program management for large operational transformations
- Interim executive and operational staffing to cover gaps during transitions or expansion
- Provider network strategy and contracting support
- Claims and payment operations advisory and optimization
- Utilization management review and redesign
- Operational readiness and implementation support for new contracts and state-required deliverables
- Vendor selection and oversight (PBMs, care management platforms, analytics vendors)
We combine practical operations experience with data-driven analysis to identify high-impact opportunities and deliver measurable results. Typical outcomes from our operational engagements include improved claims turnaround, higher provider engagement, better care coordination metrics, and successful readiness for contract start dates.
