Project Management Services (PMOaaS)

Governance, Standardization, Strategy Alignment, Measurable Results

PMO as a Service

Synistosa’ s (PMOaaS) model enables organizations to scale project and program execution with built-in agility, governance, and accountability—without the overhead of building a traditional internal PMO.

We provide a fully managed, expert-led PMO function tailored to your strategic objectives, organizational structure, and delivery frameworks. Whether you're augmenting an existing capability or launching a new transformation initiative, we embed seasoned professionals, proven methodologies, and technology-agnostic workflows to deliver consistent, measurable value.

Results

Hair Salon

Client Overview:

A small Hair salon with less than 5 employees operating in south Florida.

Business Challenge:

The owner was a working owner, working behind the chair daily and trying to manage the day to day business at the same time. The salon owner was looking for a cost effective way to manage customer daily phone calls that included general customer inquiries, directions, and appointment management.

Approach:

  • Conducted a readiness assessment

  • Identified that a Voice AI would be most beneficial

  • Designed the workflows and deployed an AI virtual receptionist assistant utilizing Open AI LLM's combined with salon specific hyper personalization and RPA workflows.

  • The AI virtual receptionist answers the phone's, customer questions, manage customer appointments, makes outbound appointment confirmation calls and is fully integrated with the Salon's choice of salon management software.

Results & Impact:

  • Significantly reducing owner phone time by 70%

  • Reduced missed calls by 95%

  • Increase owners ability to be behind the chair by 25%

  • Increase revenue by 25%

Healthcare

Client Overview:

A not-for-profit health system operating 12 hospitals and dozens of outpatient clinics across the Southeast U.S., serving over 2 million patients annually.

Business Challenge:

The client faced financial penalties from CMS for excess 30-day readmissions and lacked a predictive model to flag high-risk patients early. Care coordination teams were overwhelmed and operating reactively.

Approach:

  • Conducted a readiness assessment of EHR, claims, and patient notes

  • Facilitated cross-department stakeholder workshops (clinical, data, compliance)

  • Developed a predictive model using structured and unstructured data (diagnoses, prior admissions, discharge instructions, provider notes)

  • Embedded insights into the discharge workflow via native Epic integration

  • Delivered ongoing governance through PMOaaS, aligning compliance and outcomes teams

Results & Impact:

  • 23% reduction in 30-day readmissions within the first 6 months

  • Prioritized outreach increased care team efficiency by 40%

  • Avoided ~$1.1M in CMS penalties

  • Established an analytics governance model across all population health projects

Enterprise Master Data Management

Challenge:

Disparate systems and disconnected datasets were hampering Mednax's ability to maintain clean, reliable master data across its organization. Manual processes introduced costly inefficiencies and data quality issues.

Solution:

Synistosa led the implementation of Ataccama ONE, establishing a scalable enterprise-wide Master Data Management (MDM) platform. The project included governance design, data domain modeling, KPI dashboards, and data certification workflows.

Impact:

  • Established a centralized, secure system of record for master/reference data

  • Enabled ongoing data quality metrics by domain

  • Reduced IT rework and operational overhead

  • Sunset legacy systems requiring costly maintenance

  • Improved stakeholder satisfaction through better data access

Next-Gen QA & Compliance Platform

Challenge:

GHW’s QA teams were using outsourced platforms (Calabrio and Discover) to evaluate call center agent performance. These tools lacked integration, speed, and the flexibility required for evolving internal QA standards.

Solution:

Synistosa designed and delivered CASE 2.0, a proprietary QA Compliance Score Recording platform integrated with GHW’s custom video/audio engine. It streamlined remote evaluations and introduced analytics to identify retraining needs.

Impact:

  • Replaced outsourced QA tools, saving $135,000 annually

  • Improved QA evaluation throughput by 50%

  • Enabled predictive analytics for agent retraining

  • Created measurable performance frameworks aligned with compliance

Global Onboarding, Invoicing & Payment Management Platform

Challenge:

GVW needed to replace outdated systems for managing 2,400 independent call center contractors in 40 countries. Manual reconciliation, invoice approval, credential management, and payments processes were slow, error-prone, and non-scalable.

Solution:

Synistosa developed a centralized IBO Information Management System (IBO-IMS), integrated with Oracle Financials and third-party platforms like Pipkins and Atmosphere. It automated invoice reconciliation, onboarding, and certification workflows.

Impact:

  • Reduced invoice processing time by 50%

  • Automated payments and approval processes globally

  • Cut administrative costs by $23,000/month

  • Unified access to key IBO data for finance and operations

I.D.E.A & Revenue Cycle Unified Analytics Platform

Challenge:

Healthcare provider struggled to centralize and analyze data from fragmented revenue cycle systems. Their enterprise analytics team was bandwidth-constrained, and self-service reporting was limited.

Solution:

Synistosa augmented the providers internal teams with a specialized data integration and analytics workforce. We supported the IDEA initiative, enabling ingestion, mapping, and dashboarding of clinical and revenue cycle data.

Impact:

  • Integrated data from multiple EMRs and RCMs

  • Enabled enterprise-wide self-service analytics via IDEA

  • Accelerated delivery of the Revenue Cycle Analytics platform

  • Improved decision-making and predictive forecasting through data science capabilities

Enterprise Data Warehouse & Revenue KPI Dashboard Modernization

Challenge:

A national healthcare provider had fragmented data marts and outdated dashboards across its operations, limiting visibility into revenue and operational performance.

Solution:

Synistosa led the consolidation of data marts, implemented incremental pipelines, and modernized dashboards to track executive KPIs and operations metrics. The team automated data refreshes and improved visualizations for finance and marketing.

Impact:

  • Reduced data refresh time from hours to minutes

  • Enabled real-time visibility into revenue trends across business lines

  • Supported executive and board-level analytics

  • Established scalable KPI dashboards for operations and medical staff

Marketing KPI Dashboard & Campaign Performance Optimization

Challenge:

The client’s marketing team lacked clear visibility into performance by region, campaign, or membership cohort, resulting in delayed insights and missed optimization opportunities.

Solution:

Synistosa designed and implemented a Marketing KPI dashboard tailored to active membership analysis, visit trends, conversion and retention rates, and campaign segmentation.

Impact:

  • Cut hospital audit time from 2 hours to under 30 minutes

  • Enabled identification of underperforming locations for proactive outreach

  • Informed strategic quarterly marketing pushes

  • Integrated “pre vs post” membership engagement logic into campaign planning

KPI Dashboard Rollout & Performance Insights

Challenge:

A major healthcare organization lacked a standardized way to evaluate doctor and clinic performance across regions. This hindered onboarding, training, and quality improvement initiatives.

Solution:

Synistosa built and deployed a medical KPI dashboard with group-based access controls, providing insights into doctor performance, standard deviations, and clinic-level trends. The rollout was integrated into the broader Medical Director onboarding program..

Impact:

  • Rolled out KPIs across all business units with tailored visibility

  • Enhanced doctor onboarding and coaching effectiveness

  • Improved performance benchmarking at both individual and clinic levels

  • Increased adoption via structured training and iterative improvements

Cloud Data Platform & Legacy System Decommissioning

Challenge:

A large healthcare provider's MapR-based data lake was underperforming, with slow query times, high maintenance costs, and limited scalability.

Solution:

Synistosa managed the cloud migration of legacy data warehouses to a modern cloud-based platform, reducing infrastructure complexity and enabling faster analytics. This included ingestion automation, metadata governance, and role-based dashboards.

Impact:

  • Reduced data load time by 75% and query response times by 95%

  • Improved platform stability by 25%

  • Migrated over 200M rows and 300K columns

  • Decommissioned legacy platforms, saving infrastructure costs

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