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Since 198937 years

Member contact, run by people who have done it since 1989.

Contact center services for health plans and national associations — outbound outreach and inbound member services, in English and Spanish, across Medicare, Medicaid, ACA and commercial lines of business.

Lines of business
Medicare · Medicaid · ACA · Commercial
Languages
English · Spanish
Contact center
Fort Lauderdale, Florida
Attested
SOC 2 Type 2 · HIPAA
Controls monitored
65 across 11 families
Agents employed
50,000+
Licensed insurance agents
1,000+
Operating since
1989

Figures as published by GMS Connect. Control counts from the live trust center.

Capabilities

What we run, end to end

Programmes are staffed, scripted, quality-monitored and reported by GMS. Licensed and non-licensed agents, on shore, in one building.

Outbound

Reaching members before a problem becomes a claim, a disenrollment, or a lost star.

  • Sales / Member Outreach
  • Health Needs Assessments
  • New Member Acquisition
  • Lead Generation / Enrollment
  • Appointments for Field Agents
  • Rate Change Support
  • Plan / Benefit Changes
  • Enrollment Processing
  • Win Backs / Retention
  • Seminar Registrations
  • Post-Discharge Surveys
  • Improvements in HEDIS Scores

Inbound

Answering the member who has already picked up the phone — including the ones who all call in the same eight weeks.

  • Inbound Customer Care
  • Open Enrollment (Seasonal)
  • Gaps in Care
  • Claims Status
  • Member Services
  • Activation Services
  • Medication Reminders
  • Product or Service Introductions
  • Patient Satisfaction Surveys
  • Physician Referral Services
  • Inbound Acquisition
  • Technical Support

Programme results

2,000,000+ Medicare members reached

2,000,000+ Medicaid members reached

+50% Increase in engagement rate

+28% Increase in PCP visit rates

Figures as published by GMS Connect. Timeframe and campaign basis to be confirmed.

Trust

Member data, handled under audit

Industry-standard measures, regular security audits, and proactive threat monitoring. Continuously monitored by Secureframe.

SOC 2 Type 2
Attested

An independent audit of controls over security, availability and confidentiality, measured across a period of operation rather than at a single point in time.

HIPAA
Attested

Controls governing the handling of protected health information, covering workforce training, access control, and breach response.

CMS compliant service solutions
Stated on gmsconnect.com

Staff are trained to comply with industry regulations for data security and confidentiality across Medicare and Medicaid programmes.

Control families

65 controls
  • Organizational Management13
  • Access Security11
  • Change Management07
  • Network Security06
  • Risk Assessment05
  • Communications05
  • Confidentiality04
  • Incident Response04
  • Physical Security04
  • Availability03
  • Vulnerability Management03

Mission & vision

Mission

Every client should have the ability to deliver excellent member experience in every interaction in order to build brand loyalty and improve member satisfaction.

Vision

GMS will deliver exceptional value to our clients through innovation, continuous collaboration, and unparalleled quality in their member interactions.

What sets GMS Connect apart as a company is our passion for excellence in every contact and our commitment to the success of our clients and their customers.

Ed GonzalezCEO / FounderMeet the leadership team

Next step

Start with a conversation about your programme.

Tell us the population, the campaign and the outcome you are measured on. We will tell you how we would run it.