OVERVIEW
Signature Performance is a healthcare administrative services firm that supports both commercial and federal healthcare markets. With more than 1,200 associates across 47 states and over 20 years of experience, they deliver tailored solutions that reduce administrative burdens for payers and providers.
As the business grew and regulatory requirements increased, the team needed a way to manage audits, policies, and controls in one place. With more people involved in compliance work, it became harder to see how an audit finding in one area affected contracts or policies in another. Manual evidence collection and scattered communication made it difficult to keep pace.
Onspring gave Signature Performance a central system to manage compliance activities from start to finish. The team now connects audit results to controls, policies, and contracts and uses automation to eliminate email requests and manual tracking. What once required constant follow up is now handled through dashboards, structured workflows, and a single audit portal.
Profile
Company
Industry
Healthcare Administrative Services
Headquarters
Omaha, NE
Company Size
1,500 Associates across 47 states
Primary Frameworks
SOC, HIPAA, NIST, CSF, FedRAMP
Top Outcome
Efficiency. One system to manage audits and compliance work across the organization.
Challenge
Signature Performance was transitioning from a small organization to a large enterprise. Compliance responsibilities expanded across teams and evidence lived across inboxes, folders and spreadsheets. When an audit finding occurred in one area, there was no simple way to understand the impact on policies, contracts or other compliance requirements.
The organization needed a system that would:
- Connect audit activity to policies, controls, and contractual obligations
- Reduce duplicate work across SOC, HIPAA, NIST CSF, and FedRAMP audits
- Eliminate manual outreach to dozens of evidence owners
- Scale with a growing user base and new regulatory demands
The company had strong internal processes. What it lacked was a platform with enough flexibility to support them.
Solution
Signature Performance selected Onspring for two primary reasons:
- Ready to use out of the box – The team could begin managing audits and evidence immediately without heavy configuration work.
- Flexible customization – Workflows, dashboards, user guides, and external audit views were tailored to match internal processes.
One of the first major wins was the creation of an external audit portal that allowed auditors to access only the information relevant to their review. “I created an external audit portal and tailored the evidence requests so auditors only saw what they needed,” explained Erin Elkins, Assistant Director or Contracts Administration at Signature Performance.
Automated Audit Coordination
With Onspring, the team no longer reached out manually to 30 or more evidence owners per audit cycle. Instead, they used automated requests and dashboards that tracked:
- Completed items
- Outstanding tasks
- Auditor follow-up requests
- Areas needing clarification
Both internal users and external auditors reported that the new process was easier than what they experienced at most organizations.
Results
These frameworks are now managed in Onspring:
- SOC
- HIPAA
- NIST CSF
- FedRAMP ATO
Evidence can be reused across audits, which saves time and reduces the risk of inconsistency.
Quantitative Results
| BEFORE ONSPRING | AFTER ONSPRING |
| Email outreach to 30+ evidence owners per audit | Automated evidence requests and reminders |
| No real-time visibility | Dashboards for internal teams and external auditors |
| Evidence stored across files and folders | Single audit portal with controlled access |
| Hard to connect audit findings across teams | Direct linkage to policies, contracts, and controls |
Qualitative Results
- Faster audit response time
- Higher user adoption due to clear processes and visibility
- Positive feedback from external auditors
- Scalable foundation for continued growth
“All the teams said, ‘Well, this was so much easier.’”
Lessons Learned
Erin shared several recommendations for new Onspring users:
- Invest in consulting hours if possible. This accelerates implementation and reduces administrative strain.
- Guide your users well. Signature Performance built in-platform user guides that show exactly how to respond to requests and what happens after submission.
- Start with one process, then expand. Launching one application first helped drive internal confidence and momentum.
The Biggest Advantage
Success Story
“If I had to use one word to describe Onspring, it would be efficiency.”
Signature Performance
Teams no longer rely on inboxes and shared folders. They log into Onspring, open My Launchpad, and see everything they are responsible for, including what is overdue.
The platform helped the organization scale its compliance activity without increasing team size.
Looking Ahead
Signature Performance plans to expand its use of Onspring to additional applications. The team is also preparing for broader AI-driven innovation.
“I appreciate that Onspring stays ahead of the industry. We have been talking about AI for years, and it is exciting to see how Onspring is planning for the future.” – Erin Elkins
