Home
Contact
▤
Organization information
Organization name *
Organization type *
Select organization type
FQHC
Health system
Medicaid managed care plan
Community health network
Other
Est. members served *
Select population size
Under 5,000
5,000 – 25,000
25,000 – 100,000
100,000+
Number of locations *
States you operate in
% Medicaid members *
Select percentage
Under 25%
25 – 50%
50 – 75%
75 – 100%
▦
Current process & challenges
Current enrollment process *
Select current process
Manual / paper-based
Internal software
Third-party vendor
Mixed / hybrid
Currently work with a vendor? *
Yes
No
Top goal for partnering *
Select your top goal
Improve enrollment
Improve retention
Reduce coverage gaps
Reduce admin burden
Biggest challenge today *
Select biggest challenge
High churn / missed renewals
Admin overhead
Data fragmentation
Member disengagement
What would success look like? *
⚇
Contact information
Full name *
Job title *
Work email *
⏵
Timeline & next steps
When are you looking to get started? *
Immediately
(0 – 30 days)
Next 3 months
(1 – 3 months)
Exploring
(3+ months)
How did you hear about Sherpa?
Select an option
Referral
Conference / event
Search
Existing relationship
Other
By submitting, you agree to our
Terms of Service
and
Privacy Policy
.
Submit info →
