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Highlights: enGen

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Overview

enGen's dynamic ecosystem of smart automation and technology supports and streamlines complex operations for health plans and their provider partners.

Operating since 2014, formerly known as HM Health Solutions Inc., enGen is a wholly owned health tech subsidiary of Highmark Health. Headquartered in Pittsburgh, Pennsylvania, enGen employs 11,000 people, supports 20 million members, and is trusted by 50 Blue and non-Blue clients.

enGen's human-centered technology operations approach: improving health care through collaboration

It's another exciting year in enGen's ongoing evolution. Building on the "back-to-market" promise, in 2024, enGen has advanced its assets, refining its approach to deliver even more impactful health care solutions.

enGen is redefining better health outcomes for members by focusing on a human-centered approach that prioritizes seamless integration and intuitive design. enGen is moving beyond the outdated, transaction-based systems that often frustrate patients and providers, and instead is embracing a more efficient and user-friendly ecosystem.

"If you're not thinking in terms of technology usability, you're going to miss the mark," emphasized Mick Malec, chief executive officer of enGen and Highmark Health's enterprise technology and operations officer. "This philosophy guides our commitment to minimal friction at every touchpoint. Our platform empowers clinicians with readily available data, streamlines administrative tasks, and provides patients with a more engaging and less cumbersome health care experience."

"In health plan operations, friction is the enemy of engagement," added Matt Rhenish, enGen's chief operating officer of health plan operations. "We relentlessly focus on streamlining the customer experience to eliminate that friction and empower members to actively manage their health."

This focus on eliminating inefficiencies is evident in the platform's design, resulting in improved adoption rates and a consistently positive experience for all stakeholders.

The success of this transformation is a direct result of the close collaboration between enGen's technology and operations teams. This partnership allows the organization to not only meet today's needs but also to anticipate future challenges, continuously adapting and evolving the platform based on real-world feedback.

"We're not just building a better platform; we're building a healthier future, one seamless connection at a time," said Malec. "This commitment to innovation positions enGen for continued growth and success in the years to come."

Deep Dive: enGen is at the intersection of technology and health care [podcast]

Other Highlights

enGen serviced more than 20 million members of separate health plans via the Enterprise Health Solution.

enGen supports all lines of health care business including national, large/small group, individual, ACA, Medicaid, and Medicare Advantage.

Customer Experience: Shared Goals, Shared Success

"We were able to be open, honest, and transparent about our needs, knowing that our goals are ultimately the same. It's a win-win situation — if I don't succeed, neither do you, and vice versa. So it's been a very mutually beneficial relationship."