Live Client Webinar: What’s Ahead for Elligint Health & Helios®
Join us on June 3rd at 12:30 PM EST for a live client webinar focused on what’s new and what’s next at Elligint Health.
The session will deliver practical value and real-time insights, including:
- Elligint Health Updates: Learn about leadership and SME additions, enhancements to client services, and new strategic alliances
- What’s New in Helios: A walkthrough of the new CM and UM Performance Dashboards — and how to use them to drive better outcomes
- Leadership Insights: Hear from our product and leadership teams on key industry trends, relevant regulatory updates, and where we’re headed next
- Product Roadmap Preview: An exclusive preview of the Helios® product roadmap — including upcoming enhancements and strategic investments
- Engaging with Our Experts: You’ll engage directly with our leadership panel, including product leaders Joe Bodley and Amy Qureshi, RN, with time for live Q&A.
Whether you’re focused on improving performance, gaining deeper visibility, or preparing for what’s ahead, this session is built to help keep you in the know and take action.
Register Now: https://us06web.zoom.us/webinar/register/WN_Wk7vbOf4RlGi6ILT_pySXg
Introducing Hub 2: A Smarter Way to Connect
Hub 2 enhancements brings standardized, cloud-based integration that is faster and built to scale.
Elligint Health is enhancing its integration capabilities this spring with Hub 2, the next evolution of the data exchange infrastructure that connects health plan systems to the Helios platform. These enhancements deliver a more interoperable foundation designed to work seamlessly within the broader healthcare technology ecosystem building on the strengths of the existing solution.
The key enhancement is a move from direct, individually configured connections to a standardized, cloud-based exchange model hosted in AWS. The result is a more predictable, efficient integration process — one that significantly reduces the time it takes to get new data flows up and running, and makes ongoing troubleshooting faster and more consistent across the board. What once required weeks of custom development work can now be accomplished through configuration.
Hub 2 enhancements will be implemented in client environments on a rolling basis, ensuring a smooth transition without disruption to current operations. If you have any questions about these planned improvements to our integration components, please contact your Account Manager.
UM Authorization Performance Dashboards Are Here
Real-time visibility into authorization workflows connects daily workflow activity to measurable outcomes.
Elligint Health’s enhanced UM Authorization Performance Dashboards are now in broad release and available to all UM clients via the Helios® Admin Portal. The dashboards are designed to help health plans and managed care organizations gain sharper visibility into their authorization programs to drive operational improvements.
Dashboards provide end-to-end visibility across the authorization lifecycle.
Clear, End-to-End View of Your Authorization Program
Our enhanced UM Authorization Performance Dashboards transform the authorization data captured in Helios into a live, interactive analytics suite. It gives every level of your UM management team, from intake supervisors to program directors, the information they need to manage their work without building a single report. Volume, outcomes, turnaround time compliance, open queue health, staff performance, and provider patterns are all surfaced in one place, updated throughout the business day.
Five focused dashboard domains give UM leaders the specific lenses they need to manage day-to-day operations and spot emerging trends:
- Authorization Overview: Track authorization volume, determination rates, and turnaround time compliance for standard and expedited requests, with trends over time.
- Open Authorization Monitoring: See the real-time state of open requests, including aging queues, past-due items, and upcoming deadlines — so teams can prioritize proactively rather than reactively.
- User Performance Insights: Assess staff caseloads, turnaround time adherence, and determination patterns to identify capacity constraints and surface coaching opportunities.
- Provider-Level Analysis: Review authorization trends by provider, including approval and denial rates and network status, to inform provider engagement and support policy alignment.
- Line-Level Detail and Utilization Trends: Drill into request-level detail across service types, medications, and inpatient stays to better understand utilization patterns and support more informed clinical decisions.
From Data to Decisions
The real value of the dashboards lies in their ability to bridge the gap between operational activity and clinical outcomes. With continuous performance monitoring and interactive filtering, UM teams can move from high-level program overview to granular, request-level detail — without switching tools or exporting data.
The dashboards are built to deliver:
- Faster bottleneck identification — near-real-time visibility means that issues surface quickly, so teams can act before they escalate
- More confident compliance tracking — regulatory turnaround requirements stay continuously visible and manageable in near-real time
- Better-informed clinical and leadership conversations — shared real-time data create a common foundation for decisions across the organization.
Ready to get started? Your Elligint Health Client Success Manager will be in touch to walk you through the dashboards and get you set up. If you’d like to get started sooner, reach out to your Client Success Manager directly.
New In Helios® Learning Management System Now Rolling Out
Interactive, in-platform training is now available to support users across the Helios® platform
Elligint Health’s new Learning Management System (LMS) is now rolling out across Helios, bringing a more interactive, flexible training experience directly into the platform. Available via the “Help” button in the top Helios menu, the LMS moves beyond static help content with a growing library of interactive, step-by-step “How To” courses that help users build both practical skills and confidence.
The new LMS is accessible from the Help button within Helios.
Key features include:
- Guided learning modules with concept screens and narrated video tutorials
- Flexible, self-paced training with the ability to pause and resume at any time
- Learner tracking and achievements to support ongoing progress and accountability
- Downloadable “cheat sheets” and reference materials for use on the job
Initial LMS courses are focused on the Care Manager Portal, with additional configuration and workflow training planned for release in the coming weeks. As Helios continues to evolve, LMS content will be updated alongside new features, ensuring that users have access to relevant, practical training over time. The LMS reflects Elligint Health’s commitment to making Helios not just a powerful platform, but one that users feel equipped to use every day.
Elligint Health Expands Its Leadership Team
Two new executive hires bring clients deeper clinical expertise and dedicated executive focus on service delivery and client success.
Elligint Health has welcomed two seasoned healthcare technology executives to its leadership team, each bringing expertise that directly benefits our clients:
- Amy Qureshi, RN, joins as Executive Vice President (EVP), Product Strategy
- Joseph Bodley has been named Chief Client Operations & Process Officer.
Together, they strengthen our ability to deliver both meaningful product innovation and an exceptional client experience as we continue to grow the Helios® platform.
Amy Qureshi, RN: Amy brings more than 25 years of clinical and healthcare technology experience, including deep expertise in care management, utilization management, population health, and AI-driven solutions. A registered nurse by training, she has worked across hospital, managed care, and technology settings — giving her a grounded, practical perspective on how care is delivered and what health plans actually need from their technology partners. She also brings extensive knowledge of NCQA, URAC, and CMS compliance requirements — an important asset as our clients navigate an evolving regulatory landscape.
As EVP, Product Strategy, Amy’s focus will be on advancing Helios® capabilities in ways that support real-world workflows and drive measurable outcomes for the members you serve.
Joe Bodley: Joe brings more than 15 years of healthcare IT leadership with a proven track record in client success, implementation, and operational transformation. Most recently, he served as Senior Vice President at Zelis, leading client experience strategy across a large enterprise portfolio with a focus on improving satisfaction and retention. He has built implementation frameworks and operational models throughout his career that reduce time-to-value — so clients see results faster and partnerships are built to last.
As Elligint Health’s Chief Client Operations & Process Officer, Joe will lead client operations and service delivery ensuring a consistent, high-quality experience from implementation through ongoing partnership.
You’ll have the opportunity to meet both Amy and Joe at our June 3 client webinar. In the meantime, you can learn more about them from their full announcements.
Elligint Health Featured in Becker’s Payers Issues: AI from a Payer’s Perspective
Elligint Health leaders share practical perspectives on cutting through the AI hype and building what actually works for payers.
Elligint Health is pleased to share that Becker’s Payer Issues recently published “AI from a Payer’s Perspective: Filtering the Noise,” featuring insights from Chris Caramanico, Elligint Health’s CEO; Amy Qureshi, RN, EVP of Product Strategy; and Steve Tolle, Chairman of the Board. The article explores practical considerations for payers looking to move beyond all the AI hype and implement solutions that deliver meaningful operational and clinical value.
Key themes explored in the article include:
- Why strong data quality and governance must come before AI adoption
- The importance of keeping humans meaningfully involved in AI-supported workflows
- How organizations can identify high-value AI use cases instead of chasing every new trend
- Why organizational readiness and realistic expectations matter as much as the technology itself
The discussion also highlights the importance of flexibility in AI strategy, including the role of curated ecosystems, governance frameworks, and carefully integrated workflows that support — rather than replace — human decision-making.
At Elligint Health, we believe the most effective AI strategies are grounded in real-world payer challenges, operational practicality, and responsible implementation.
Elligint Health Team Spotlight
Meet Carrie Nolfo: From the Trenches to the Forefront
A seasoned healthcare veteran brings real-world insights to the Elligint Health Client Services Team.
Carrie Nolfo didn’t come to Elligint Health by accident. With a healthcare career spanning more than 30 years — from clinical roles on the front lines to senior leadership roles in care management process improvement and population health operations — she has spent her professional life making healthcare systems work better for the people that use them. A Lean Six Sigma Black Belt, she has worked alongside care managers, observed workflows up close, and helped organizations eliminate the inefficiencies that stand between clinicians and their patients. “I’ve worked in the trenches,” she says, “so my experience ranges from designing and optimizing workflows to actually doing the work.”
What drew Carrie to Elligint Health was personal: she had been a user of Helios® herself. Having worked with many care management platforms, Helios stood out — and she decided she didn’t just want to use it, she wanted to be part of building it. Today, as a Business Analyst on the Client Services team, she works directly with clients during implementation to:
- Map current workflows and identify automation opportunities
- Free up staff time from administrative burden so they can focus on managing patients
- Help client teams gain the confidence, skills, and tools they need to do their jobs at full capacity
“I want to be the person who makes it easier for those managing patients to do their best work,” she says. For Carrie, that mission is personal — and Helios is the platform that supports it.