The Situation

A large, globally federated healthcare insurer wanted to create internal, ‘repeatable’ capabilities that would achieve the following goals across its country-specific operating units (OUs): 

(a) reduce the duplication of IT platforms supporting business-critical functions by creating one set of capabilities that can be re-used by multiple OUs 

(b) accelerate the transfer of knowledge and best practice between OUs to achieve benefits of at least £20m over 5 years

 

The Task

  1. Identify & confirm capabilities critical to the business strategy & which of the OUs were delivering best practice 
  2. Get buy-in from individual OU executive boards to support achieving the initiative’s goals
  3. Justify & acquire funding for the initiative from Group Finance
  4. Design the operating model for the repeatable capabilities

The Action / Approach

  • Created & confirmed the capability map diagram for the organisation’s operating model
  • Captured the current state of each OU’s capabilities across people, processes, data & systems & mapped them to the diagram. Alongside, reviewed each OU’s strategy & change portfolio to identify priorities. Using these inputs identified which OU capabilities could be uplifted by another’s and thereby accelerate meeting business priorities
  • Created the business case to acquire the necessary funding, with a 5 year benefits forecast & delivery plan
  • Led the enterprise architecture & business analysis during initiative delivery (using Agile(Scrum)) working closely with the programme’s director

The Result

  • The business case acquired £5 million in funding from Group Finance for the initiative
  • The delivery team implemented best practice capability into OU’s in the UK, Hong Kong, Spain & Australia that uplifted claims management and underwriting. Particular focus on ensuring claims contract compliance using Microsoft Dynamics 365, APIs, portals and improved business processes
  • The initiative was on-track to achieve total cost-savings of £30 million over 5 years (by end 2021)

Focus In On: Responsible for Business Architecture

New Areas of Value:

Optimise service efficiency and effectiveness

Provide strategic and operational business decision support

Turn strategy into projects and / or programs

Improve cross-business collaboration, service delivery and asset utilisation

Ensure alignment and integration of architecture to business strategy

Improvements around:

Getting a seat at the right table

Lack of knowledge transfer

Political and cultural resistance

Lack of strategic focus on architecture from the business

Relevant Industries