SHMS is a healthcare technology vendor that offers a fully integrated compliance and operation system for small to medium sized managed care organizations primarily focused on MAPD. The SHMS system handles member enrollment processes, grievance & appeals, provider data management, contract management, claims adjudication, risk management data submissions EDS, medical management, member services, capitation, ODAG/CDAG & operational reporting and analytics and much more. Implementation and Change Management with SHMS was fantastic and the technical environments are current and scalable. My partners and I utilized this system as the foundation of our HealthSun Health Plans Operations that was tightly integrated into over 30 medical clinics, several stand alone pharmacies. Additionally, we used their system for MMM-FL MAPD Operations. Great system for new and up and coming MAPD organizations with all the hooks already built in to CMS and Regulatory Agencies.

I've been working one on one with this platform for over 8 years. As a project manager in a constantly changing environment, SHMS is able to adapt and respond immediately to our business need. Whether it be a CMS requirement, or a process improvement enhancement, SHMS is to provide fast turnaround and real time responsiveness. We are able to collaborate to meet timelines and work with their team to meet goals as an organization. The system itself is very user friendly. The vendor is available for support. The readiness for implementation of enhancements is top notch.