Case Study: Trizetto achieves enterprise modernization and streamlined claims processing with Optum

Trizetto - Customer Case study

Trizetto, a northeastern regional health plan, faced a mammoth migration from a legacy claims-processing platform to the modern Trizetto QNXT core administration system and engaged Optum to lead the effort. The initiative required far more than a system swap: rearchitecting years of custom reports and wraparound applications, replacing the data warehouse, redesigning enterprise architecture, and overcoming entrenched staff resistance to new workflows.

Optum implemented a phased migration and change-management program, collaborating on requirements, a go‑live roadmap, new program-management methodologies, and staff incentive and communication plans. As a result, Optum successfully migrated the client to the Trizetto QNXT enterprise system, transformed processes and roles, and positioned the organization to be more agile and responsive to market and regulatory changes.

Trizetto