At Provider Partnership, we bring more than expertise—we bring partnership. When a leading national health plan needed to rapidly develop and recruit a Medicaid network across an entire state, they turned to us for hands-on support, regulatory insight, and executional precision.

The goal was ambitious: build a compliant, accessible provider network that met state standards and launched on time. Our approach focused on transparency, real-time data sharing, and consistent collaboration from day one.

The Challenge

Medicaid network builds are complex by nature. Between varying provider requirements, credentialing timelines, and strict compliance standards, this project required speed, scalability, and clear coordination.

Our Approach

We immediately aligned with the payer’s internal teams to map out a provider recruitment and contracting strategy, identify high-need geographies, and implement communication workflows that kept everyone informed throughout the process.

Key elements of our approach included:

  • Transparent data exchange: Our teams shared updates in real time, with dashboards and reports designed to track every step—outreach, engagement, credentialing, contracting, and onboarding.

  • Consistent communication: Weekly check-ins, status updates, and shared workspaces made collaboration seamless and ensured agility in responding to state and market needs.

  • Regulatory compliance support: Our team stayed up to date on Medicaid guidelines and ensured every provider in the network met all participation and documentation standards.

A Partnership Built Over Time

Our relationship with this health plan spans three years and multiple solutions. From the start, we worked together on provider network optimization initiatives, refining contracting processes, and enhancing provider engagement. For the past two years, our focus has been dedicated to the Medicaid network build—ensuring that every milestone was achieved on time while maintaining the highest standards of compliance.

The Results

Thanks to our unified approach, the health plan launched its statewide Medicaid network on time and in full compliance. Here’s what they had to say about the partnership:

“We partnered with Provider Partnership to support the development and recruitment of a statewide Medicaid network. Their team was highly professional, accessible, and collaborative. The transparent data exchange and consistent communication greatly facilitated tracking and reporting, ensuring compliance with all regulatory requirements. With their support, we successfully implemented this network and met our go-live date.”

A Word from Our CEO

At Provider Partnership, we know that success is rooted in the strength of collaboration.

“Transparency and communication aren’t just part of our process—they’re the foundation,” said Mary Simon, CEO of Provider Partnership. “We treat our clients’ goals like our own, and we ensure they’re informed and empowered every step of the way. That’s how we deliver results and build lasting relationships.”

Let’s Build Together

Whether you’re expanding your Medicaid footprint, launching a new line of business, or tackling network development at scale, Provider Partnership is here to help. Let’s talk about how we can support your next initiative—on time and with confidence.