Simplify Academy™ | AI learning for health plans and partners
Led by Simplify Alpha™

Prepare your teams
to deploy AI in payer operations.

Build the capability to put The Payer AI Platform to work. Simplify Academy™ brings operations, technology and partner learning pathways to health plan teams and the firms that support them.

Simplify Academy™
4Schools in the curriculum
7Learning tracks
5Roles in a deployment POD
1Certification standard

Learning pathways

Seven tracks. Find the track that fits your team.

Certification pathways for health plan teams, partner engineers, architects, and Simplify professionals.

Payer Domain Products

Configure and operate the platform's payer product suite.

Audience

Configurators, business analysts, payer operations, partner implementers

Certifies

Configuring and operating Benefits1™, Provider1™, Claims1™, Xperience1™, Insights1™, Payment1™

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The curriculum foundation

Four schools connect knowledge with practice.

The Academy curriculum brings together four areas of learning. The relevant modules for your track will be shared as part of the follow-up.

Understand the approach

ALPHA Methodology

Explore the ALPHA framework and how it connects delivery work to client outcomes, shared standards and continuous learning.

The five tenets

  • 01The ALPHA framework and five tenets
  • 02Solutions as a Service and outcome ownership
  • 03Delivery standards and adaptive learning

Build domain fluency

Payer Operations

Understand the workflows, stakeholders and operating context of U.S. health plans, from claims and prior authorization to member and provider operations.

How the workflows connect

Provider operations
Member operations

Provider and member operations touch every stage above, which is why the school covers them alongside the transactional workflows rather than after them.

  • 01Claims, utilization management and prior authorization
  • 02Appeals and grievances, enrollment and eligibility
  • 03Provider and member operations

Deploy with confidence

AI Engineering

Develop the engineering capability to work with The Payer AI Platform, from the Payer Ontology and data pipelines to model deployment and integration.

What you build on

The AgentsExpert agents executing multi-step actions, with human oversight
The DomainsOperational domains with established decision logic
5 domains
The Payer OntologyA digital model of the U.S. health plan, with data, relationships and defined actions
10 root entities
Your core systemsThe existing data and platforms the AI operates across

The Payer Ontology is the layer this school spends the most time in. Everything above it depends on how your data connects to it.

  • 01The Payer Ontology and data connectivity
  • 02Model deployment and integration patterns
  • 03Platform architecture and engineering practice

Practice in context

Forward Deployed

Learn the practice of forward deployed engineering, how Simplify Alpha™ embeds with health plan teams to deploy, iterate and institutionalize AI in real workflows.

How capability transfers

Embed Deploy Iterate Institutionalize handover
Simplify Alpha™ and partner involvement Your team's capability

Illustrative shape, no scale implied. This school is about making the handover deliberate rather than accidental.

  • 01POD structure and team composition
  • 02Workflow deployment and iteration cycles
  • 03Knowledge transfer and capability building

Learning connected to deployment

Prepare your people to carry the work forward.

The Academy supports the people behind platform deployment. Forward Deployed Engineering PODs bring an operations owner, an IT engineer, a frontline expert, a QA lead and a forward deployed engineer from a partner or Simplify Alpha™ together around one workflow.

  • Bring operations and technology expertise together around a real workflow.
  • Build capability for your own people to take on subsequent Payer Ontology domains.
  • Develop a shared foundation for collaboration with Simplify Alpha™ and your partners.
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FDE PODs

Who it is for

Build capability within your organization.

For health plans and partners preparing their people to work with The Payer AI Platform.

One certification standard across the ecosystem Simplify Academy Certified
Health plan teamsDevelop operations and technology skills within your own organization. Prepare your people to work alongside delivery teams and take on subsequent platform domains.
PartnersExplore a pathway for your engineers to build platform expertise and pursue certification, supporting the health plans you work with.

Simplify Academy™ brings health plan teams, partners and Simplify professionals into a shared training and certification model. The goal is to develop people who can deploy AI and help their organizations build capability on The Payer AI Platform.

Certification & partner program

Five levels. One shared standard.

Credentials are shared across health plan teams, partner engineers and Simplify professionals. No credential carries a release name, the ladder is built to outlast any product version.

The certification ladder

Foundations

Foundations

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  • Open to anyone
  • 40 questions online, 70% pass
  • Payer context; what an agent is and how to supervise it
  • 8–12 hours
Associate

Associate

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  • Per track; needs Foundations
  • 60 questions proctored plus a sandbox lab with an evaluation exercise
  • 30–40 hours
  • Free annual renewal
Specialist

Specialist

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  • Agent Design, Ontology, Evaluation, Runtime Governance + Domain Product Specialists
  • Exam + scored build: map a source, ship a governed agent
  • 40–60 hours; product micro-credentials sunset at 18–24 months
Architect

Architect

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  • Two Specialists + 12 months delivery and attestation
  • Concentrations: Solution & Runtime; Agent Governance
  • Exam + written design case, reviewed by two Architects
  • 80–120 hours; annual delta + maintenance fee
Fellow

Fellow

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  • Architect or Premier/Alpha nomination + 3 yrs payer implementation
  • 12–14 week cohort; capstone defense before a board of Fellows
  • Hard gates: deployment evidence, generalization memo, governance defense
  • 150–200 hours plus cohort

The Weave, community ranks

Thread → Stitch → Weaver → Master Weaver → Loom

Ranks earned by badges and points. One geometric knot mark gains threads with each level. Trademark clearance pending on The Weave, Payer Ontologist, and Simplify Fellow.

The Forward Deployed Engineering journey

Level
FDE title
Can do
Exit evidence
POD role
Cross-credit
Foundations
FDE Aware
Explain the platform, the payer domain, HIPAA basics, agent supervision
Foundations exam plus guided lab
Pre-POD onboarding
Shared exam
Associate
FDE (POD member)
Execute one workflow slice under supervision
Hands-on build, evaluation exercise, one supervised deployment
POD member
Platform Builders Associate; evaluation micro-credential
Specialist
Senior FDE (POD lead)
Own a workflow end to end; design human-in-the-loop; drive adoption
Capability exam, governance exercise, live deployment evidence
POD lead
Domain Product, Payer Solutions, Architecture and Runtime Specialist badges
Architect
Lead or Principal FDE
Architecture and governance across PODs; regimes for CMS-0057-F, state AI rules, NAIC bulletin
Architect exam plus design case with governance design
Multi-POD lead
Both Architect concentrations; Sales and Pre-Sales
Fellow
FDE Practice Lead
Simplify Fellow
Lead a portfolio; convert bespoke work into product; defend outcomes
Cohort plus capstone with deployment evidence, generalization memo, governance defense
Practice lead
Top credential across all tracks

Cross-credit rule: exit artifacts are transferable evidence units. An FDE who passes the Specialist evaluation exercise automatically earns the Architecture and Runtime micro-credential, one person carries several badges without redundant assessment.

Partner tiers

Registered

Signed agreement · two Associates

  • Free self-paced learning
  • Sandbox tenant
  • Referral fee

Select

Five Specialists · one Architect · one go-live · CSAT 4.0+

  • Exam vouchers
  • Co-sell & marketplace private offers
  • Resell margin

Premier

Fifteen Specialists · three Architects · one Fellow · three go-lives · CSAT 4.3+

  • Higher margin & market development funds
  • Joint roadmap input
  • First access to new certifications

Simplify Alpha™ is the founding Premier partner.

Future-proofing

1

Competency framework versioned separately from products

Seven competency areas anchor the framework so assessments stay stable when the platform changes beneath them.

Ontology & data mapping Agent design Agent evaluation Governance & runtime operations Change management & adoption Payer domain knowledge Value realization
2

Annual blueprint refresh with a mid-year patch path

Any blueprint unchanged for 18 months is flagged for review.

3

Stackable micro-credentials for new capabilities roll up into levels

Product-tagged micro-credentials sunset at 18 to 24 months.

4

Advisory board meets at least twice a year

Payer AI governance lead, medical director, compliance and legal, FDE practice lead, external assessment expert.

Common questions

Before you sign up.

Learn more about the Academy and what happens after you sign up.

Still deciding? Send your question with your registration and the team will answer it directly.

Who is Simplify Academy™ for?

The Academy brings together health plan operations and technology teams, partner engineers and Simplify professionals. This page invites health plans and partners to express interest for themselves or their teams.

How does it connect to The Payer AI Platform?

The Academy develops the knowledge and skills people need to deploy AI on The Payer AI Platform. It supports health plans building capability within their own teams and partners developing platform expertise.

Which track should I choose?

Choose Operations for health plan operations learning, Technology for health plan technology learning, or Partner for a partner organization's learning needs. Select "Help me find the right track" if you would like guidance.

What should I know about certification?

The Academy's model brings health plan teams, partners and Simplify professionals to the same certification standard. Track-specific requirements and assessment details will be shared during follow-up.

Does registering interest confirm enrollment?

Registering interest helps the Academy team understand your organization's learning needs. It does not confirm enrollment, a cohort place or certification. The team will follow up with relevant program details and next steps.

Register your interest

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Explore Simplify Academy™'s learning programs for health plan teams and partners. Leave your details to receive updates and early access information.