Engagement Models
Project-Based
Interim / Part-Time
Monthly Retainer

Fraud, Waste & Abuse / SIU Support

🔎

Investigation Expertise Without the Overhead

Many small and mid-size health plans lack the resources to maintain a full-time SIU director — yet the regulatory pressure, audit exposure, and claims loss from FWA is real. PARIM fills that gap with senior-level expertise on your terms.

Services Included

  • Interim SIU management and day-to-day investigation oversight
  • FWA program design and policy development
  • Investigation program gap assessment
  • Audit support and regulatory response preparation
  • Compliance program reviews and documentation
  • SIU staff training and development
  • Data analytics support for fraud detection
  • Coordination with law enforcement and state agencies

Ideal For

Plans without a dedicated SIU director • Plans under regulatory review • Growing plans building investigation capacity • Plans needing audit preparation support


Provider Network Development

🌐

Build and Sustain Networks That Perform

Network development leadership is expensive to staff and complex to execute. Whether you're expanding geographically, closing adequacy gaps, or building a network from scratch, PARIM provides the expertise to get it done without a permanent hire.

Services Included

  • Interim network development leadership
  • Provider recruitment strategy and outreach
  • Contract negotiation and rate development
  • Network adequacy gap analysis and remediation
  • Market expansion planning
  • Credentialing process support
  • Provider relations and retention strategy
  • CMS and state network adequacy compliance

Ideal For

Plans entering new markets or service areas • Plans with network adequacy deficiencies • Plans needing interim director coverage • Plans renegotiating provider contracts

How an Engagement Works

1

Discovery Call

15 minutes to understand your situation, priorities, and what success looks like for your plan.

2

Scope Proposal

A clear, written scope of work with deliverables, timeline, and engagement terms. No surprises.

3

Engagement Begins

Work begins quickly. No ramp-up overhead — senior expertise on day one.

4

Ongoing or Wrap

Project ends cleanly or transitions to retainer. Your choice, your timeline.

Not sure which service fits? Let's figure it out.

A 15-minute call is enough to identify where PARIM can add value for your plan.

Schedule a Call