• Payrolling
  • Recruiting

Degree of Difficulty

  • 7/10
  • Disorganized payroll process
  • Difficult-to-fill healthcare positions
  • Disparate vendor relationships
The Dilemma

With disorganized payrolling processes and ineffective staffing vendors, one West Coast healthcare provider was having trouble finding the talent it needed and satisfying contractors with smooth payment once they were onboard. With few suppliers that offer all the payrolling, staffing, temp-to-perm hiring, direct hiring and project work the company needed, HR and hiring teams were facing significant challenges keeping up with the competition.

The Strategy

The client didn’t just need a vendor who could handle payrolling, niche recruitment, onboarding and more, but one with decades-long experience and modern-day expertise in doing so in the demanding healthcare industry—aka Yoh. With a small, nimble team, Yoh became the company’s one-stop-shop for everything related to talent procurement and management, as well as the critical healthcare quality assessment and compliance tool, HEDIS.

The Impact

Payrolling issues disappeared. Recruitment gaps vanished. Vendor disorder was solved. As the client’s lone talent and payrolling provider, Yoh streamlined each process, providing a smoother experience for potential talent, a stress-free environment for the client and cost savings through consolidation.


$3 trillion industry

19.2 million healthcare industry employees in 2016

$25.79 average hourly earnings for healthcare industry employees

3.3+ billion health insurance claims made in U.S. each year

784,626 healthcare companies in the U.S.

The competition for healthcare talent has gotten exponentially greater in recent years. With the number of U.S. healthcare and health plan companies now totaling more than three-quarters of a million, it can be difficult to locate talent in a specific area for a variety of high-skill and medium-skill positions.

For most companies, a solution to that problem comes in the form of contractual labor. It can be an easier and quicker way to fill a talent gap in a pinch or for a short period of time. However, contract workers come with their own unique set of challenges in terms of payrolling, compliance and more.

One company, a West Coast community health plan and healthcare coverage provider, was having trouble with all of the above. Managing payroll for contract workers was becoming disorganized and full of errors. Overseeing numerous staffing vendors was becoming overwhelming and ineffective. And handling other special projects was becoming simply too much for internal teams to oversee.

So to ease that pain, the company hired Yoh to come in as a one-stop-shop to heal all their payrolling, contract worker staffing and other project ills.

Universal Coverage

Initially, the healthcare coverage provider engaged Yoh because it needed help filling a number of niche positions across its business. Prior to partnering with Yoh, the client was using multiple vendors to fill clinical, non-clinical, high-skill and medium-skill roles. If they could consolidate partners and find a single provider who could handle these temp-to-perm, direct hire and contract positions, they’d find some significant savings.

And as the staffing provider with one of the deepest healthcare talent pools in the business, Yoh was more than capable of filling the company’s staffing gaps with qualified, certified talent. If there was ever a position at the health plan company that needed to be filled—no matter where the opening was across the managed care spectrum—Yoh hired for it.

Yoh hired registered nurses, licensed practical nurses and licensed vocational nurses for roles in case management. Yoh hired pharmacists, pharmacy technicians and pharmacy directors for roles in the health plan’s growing pharmacy department. Yoh hired analysts, examiners and supervisors for the company’s stringent claims department. Yoh hired utilization management coordinators, supervisors and directors for its utilization review process. Yoh hired medical coders and customer service representatives to make sure the experience for health plan members was nothing but the best.


In an industry where talent doesn’t stay unemployed for long, Yoh has an ever-growing database of managed care candidates that experts are in constant communication with, allowing Yoh recruiters to fill almost any of these roles in a moment’s notice. Additionally, because Yoh prioritizes spending face-to-face time with the client to fully immerse itself in the company’s culture and how it hires, Yoh is able to find the right individual for the job, every time.

Like when the client needed to contract a team of HEDIS-certified (Healthcare Effectiveness Data and Information Set) abstractors to evaluate the quality of its coverage and report it to the National Committee for Quality Assurance (NCQA), the company asked Yoh to step in and find, evaluate and payroll a small team for a four-month project.

Considering the short-term nature of the work, the competition for these individuals and the fact that reporting inaccurate information or failure to comply with regulations can result in hefty state and federal fines, Yoh needed to contract HEDIS abstractors that are not only fully qualified but incur as little turnover as possible. So to ensure the team remained on board for the duration, Yoh worked with the client to structure contracts with bonuses that enticed them to stay on the project until completion. And if a HEDIS abstractor needed to leave for any reason, Yoh always had qualified and approved replacements waiting in the wings. To date, there has neither been a delay in reporting nor a fine ever incurred..

Extra Care

In addition to its recruiting efforts, Yoh identified another challenge during its initial audit that the company was regularly facing—and one that needed to be solved quickly. Issues with the company’s contract worker payrolling system were causing delays in payment, incorrect rates and disorganization with paychecks and billing. This caused headaches for not only the company but also for the contract workers who rightfully wanted to receive the correct payment and receive it on time.

Luckily for the client, Yoh was able to quickly introduce its Exchange Time Entry System, which completely automated the company’s payroll process, eliminating errors and speeding up how quickly contractors got paid. In fact, both contractors and managers have access to this system, which ensures a streamlined and transparent process for the duration of the contract.

After choosing to partner with Yoh and consolidate to a single talent and solutions provider, this West Coast community health plan has been able to reduce costs, eliminate payrolling glitches, find critical talent and HEDIS expertise and streamline its entire talent system. That’s just what clients receive when they partner with a company that has been in the healthcare space for decades, working alongside some of the biggest and best providers in this massive industry.