PJX Consulting

Claims. Operations. Technology.

Bring clarity to
complex work.

Practical consulting at the intersection of healthcare, insurance, and technology.

We help organizations translate business challenges into clear requirements, stronger processes, and solutions that work in the real world.

Let’s talk about your priorities

Our expertise

Business depth.
Practical execution.

From the details of a claim to the design of a platform, we connect operational needs with a clear path to delivery.

01

Claims & operational improvement

Assess workflows, identify gaps, and define more effective ways of working across claims and related business functions.

Process assessment · Workflow design · Business controls

02

Business requirements & systems

Turn operational needs into actionable requirements, helping business and technical teams build a shared understanding of what a solution must do.

Discovery · Requirements · Platform planning

03

Payment integrity & recovery

Support claims data review, overpayment identification, and recovery processes with attention to documentation and operational follow-through.

Data review · Recovery workflows · Issue resolution

04

Implementation & delivery support

Help teams move from planning to execution through coordination, business validation, and practical implementation support.

Delivery coordination · Testing support · Transition planning

Our approach

Start with the business.
Build from there.

Technology works best when it reflects how the business needs to operate. We bring structure to the problem, align the people involved, and keep the work focused on practical outcomes.

  1. Understand

    Clarify the current state, priorities, constraints, and people affected.

  2. Define

    Translate those needs into a focused scope, clear requirements, and an achievable plan.

  3. Deliver

    Work alongside business teams and technology partners to support execution and validate results.

About PJX

Perspective grounded
in the work.

Founded in 2012, PJX Consulting, Inc. brings claims, operational, and systems expertise to healthcare and insurance organizations.

We work with business leaders, operational teams, and technology partners to make complex initiatives easier to define and execute. Our role is to connect the business detail with the bigger picture—and help move both forward.

Connect with PJX

Let’s move your
next priority forward.

Tell us what you’re working on.

571-252-5300

Mailing address

PJX Consulting, Inc.
673 Potomac Station Dr NE
Suite 732
Leesburg, VA 20176