Our Managed Care Services
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