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Champion’s Managed Care Services

Champion Payer Solutions

Champion Payer Solutions

Serving the Needs of our Client Physician Groups

Champion Payer Solutions, LLC (CPS) is Champion Health Plan’s dedicated managed care services organization, providing end-to-end administrative, operational, and regulatory support to partner physician groups, IPAs, and health systems operating in value-based arrangements.

CPS delivers the full scope of managed care management services required for high-performing Medicare Advantage and delegated-risk models, all while meeting state, federal, CMS, and NCQA requirements with audit-ready discipline.

Champion Payer Solutions Services

Led by a team with decades of experience across health plan and medical group operations, CPS combines strategic insight, scalable technology, and disciplined execution to drive quality outcomes, cost-effective care delivery, and confident participation in Medicare Advantage at scale.

Claims Operations

Utilization Management

Financial Management

Case Management & Transition of Care

Benefits & Eligibility

Credentialing

Call Centers

Provider Network Operations

Analytics and AI Analytics

Social Determinates of Health (SDoH)

Quality Management

Reporting