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Search within: Healthcare Payer:

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Contracts Database

for Healthcare Payer

Track the pattern of service adoption by monitoring Healthcare Payer contract awards by your peers. Identify who are the successful vendors this industry now. Updated monthly!

These documents are available to logged in clients that have purchased access to this program.

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Healthcare Payer BPS

Insightful Analysis to Drive Your Healthcare Payer Strategy. NelsonHall's Healthcare Payer Program is a dedicated service for organizations evaluating, or actively engaged in, the outsourcing of healthcare or insurance industry-specific processes such as policy management, and claims and new business processing. Non-industry specific services such as HR outsourcing are supported within separate dedicated programs.

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latest vendor assessments:

NelsonHall keeps tabs on all these vendors so that you don't have to do so, providing all the analysis of vendor capabilities that you require for shortlist selection

  • WNS - Healthcare Payer BPS

    Jun 07, 2019 | Vendor Analysis by Sven Lohse

    WNS Global Services is a public, global BPS company headquartered in Mumbai, India. The company generated $758m in fiscal year 2018 (ending March 31, 2018). WNS serves clients across a diverse set of industries. Within healthcare, WNS serves payers, providers, and life sciences clients. WNS’ payer BPS business was significantly expanded in [...]
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  • Hexaware - Healthcare Payer BPS

    May 30, 2019 | Vendor Analysis by Sven Lohse

    Hexaware is a public, global IT and BPS company headquartered in Mumbai, India. The company generated $678m in fiscal year 2018 (ending December 31). The insurance and healthcare business unit is the company’s fastest growing unit. The vertical group generated approximately 19% of total company revenue in the last fiscal year. Within that bus [...]
    view this reportdownload abstract
  • Firstsource - Healthcare Payer BPS

    May 29, 2019 | Vendor Analysis by Sven Lohse

    Firstsource has served commercial sector payers in the U.S. for approximately a decade and began its work in this segment with document processing and with claims processing. Firstsource counts as clients 5 of the top 10 health insurance carriers and many smaller payers. [...]
    view this reportdownload abstract
  • Genpact - Healthcare Payer BPS

    May 29, 2019 | Vendor Analysis by Sven Lohse

    Genpact is a public, global BPS company headquartered in New York City, NY. The company generated approximately $3.0bn in fiscal year 2018. The company serves payers, providers, and life sciences organizations. Genpact serves approximately two dozen payers in front-, middle-, and back-office functions. Clients include five of the top 10 commercial [...]
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  • Sutherland - Healthcare Payer BPS

    May 29, 2019 | Vendor Analysis by Sven Lohse

    Sutherland Global Services is a private, global BPS company headquartered in Rochester, NY. NelsonHall estimates that the company generated approximately $1.3bn in calendar year 2018. The company’s government and healthcare vertical clients generate approximately 15% of total company revenue. Within the healthcare vertical Sutherland serves p [...]
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  • TCS - Healthcare Payer BPS

    May 29, 2019 | Vendor Analysis by Sven Lohse

    Tata Consultancy Services (TCS) is a public, global IT and BPS company headquartered in Mumbai, India. The company generated approximately $20.9bn in fiscal year 2019 (ending March 31). Approximately 13% of total revenue is generated from BPS contracts. The company serves payers, providers and life sciences organizations. TCS serves six of the top [...]
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  • Conduent - Healthcare Payer BPS

    May 22, 2019 | Vendor Analysis by Sven Lohse

    In January 2017 Xerox spun off its Business Services unit to create Conduent. This included Conduent's healthcare payer BPS business. Conduent continues to serve healthcare payer and provider clients, including government Medicaid agencies and commercial health plans. [...]
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  • Cotiviti - Healthcare Payer BPS

    May 17, 2019 | Vendor Analysis by Sven Lohse

    In August 2018, the Waltham, MA-based Verscend Technologies company acquired Atlanta, GA-headquartered Cotiviti Holdings. In the future, the combined entity will operate under the Cotiviti name. [...]
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  • CGI - Healthcare Payer BPS

    May 16, 2019 | Vendor Analysis by Sven Lohse

    CGI is a public, global IT and BPM company headquartered in Montreal, Canada. The company generated approximately $8.6bn ($11.5bn Canadian) in fiscal year 2018 (ending December 2018). [...]
    view this reportdownload abstract
  • Accenture - Healthcare Payer BPS

    Mar 04, 2019 | Vendor Analysis by Sven Lohse

    Branded "Accenture Intelligent Operations", Accenture offers payer (and provider) customers BPS services. Healthcare payer BPS capabilities lie within Accenture's Health and Public Services business unit. [...]
    view this reportdownload abstract
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Vendor coverage

Covered vendor profiles within the Healthcare Payer program

latest market analysis
in Healthcare Payer:

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NEAT analysis:

Healthcare Commercial Payer BPS

Published on: May 1, 2019 by Sven Lohse
This NelsonHall Vendor Evaluation & Assessment Tool (NEAT) analyzes the performance of vendors offering healthcare commercial payer services. The NEAT tool allows strategic sourcing managers to assess the capability of vendors across a range of criteria and business situations and identify the best performing vendors overall. Vendors evaluated are: Accenture, Capgemini, CGI, Cognizant, Concentrix, Conduent, Cotiviti, DXC Technology, EXL, Firstsource, Genpact, Hexaware, HGS, Infosys, NTT Data, Optum, Sutherland, TCS, Tech Mahindra, and WNS. To find out more, contact Keith MacLean at [email protected]
request access to NEAT Weighted scores and score breakdown are only available for clients with access. Access is free to the buy-side community, and given upon registration. Please login now or register for NEAT for full access to this functionality

Latest Healthcare Payer Market Forecast

NelsonHall's Self-Service Forecast Tool

This new tool is aimed at assisting executives in accessing the precise market size, growth, and vendor share information they require rapidly and cost-effectively, in support of more-informed decision-making.

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featured blog posts on
Healthcare Payer:

  • How NTT DATA Established Enterprise Automation Governance for BCBS Health Insurance Carrier

    Apr 29, 2019, by Sven Lohse

      In this blog, I look at how NTT DATA worked with a large Blue Cross Blue Shield (BCBS) health insurance carrier to establish an enterprise governance structure for automation, and at the lessons learnt along the way. Like many other large BCBS carriers, the company had piloted RPA i[...]

  • The Case for Expanding Provider Network Coopetition Among U.S. Health Plans

    Apr 18, 2019, by Sven Lohse

      In my previous blog, I described how, since 2017, Sutherland has created a shared services model that obviates the need for participating California health plans to separately build and update parallel databases to track the availability of providers of nonurgent care for Medicaid reci[...]

  • Benefitfocus: Strategy Shift & Other Key Updates

    Apr 11, 2019, by Sven Lohse

      Benefitfocus, the cloud-based benefits management platform and services provider, recently hosted 1,200 benefits professionals at their annual One Place conference in Charleston, S.C. The conference featured updates on Benefitfocus’ strategy, enterprise benefits management t[...]

  • How Sutherland Facilitated Coopetition Among California Health Plans

    Mar 29, 2019, by Sven Lohse

      In this blog, I look at how Sutherland tackled the challenge of health plans maintaining accurate provider data in the state of California. The challenge: inaccurate health plan data about providers It’s been difficult for health plans in California to maintain accurate, up[...]

  • Rising U.S. Healthcare Costs: Time to Address the Root Causes

    Dec 13, 2018, by Sven Lohse

      The challenge of rising healthcare costs in the U.S. has been obvious for decades. Or has it? Various interventions have been attempted, but health costs as a percentage of GDP are forecast to continue to climb. National U.S. healthcare expenditure as a percentage of GDP has risen from[...]

view all blog posts

latest blog posts on
Healthcare Payer:

  • How NTT DATA Established Enterprise Automation Governance for BCBS Health Insurance Carrier

    Apr 29, 2019, by Sven Lohse

      In this blog, I look at how NTT DATA worked with a large Blue Cross Blue Shield (BCBS) health insurance carrier to establish an enterprise governance structure for automation, and at the lessons learnt along the way. Like many other large BCBS carriers, the company had piloted RPA i[...]

  • The Case for Expanding Provider Network Coopetition Among U.S. Health Plans

    Apr 18, 2019, by Sven Lohse

      In my previous blog, I described how, since 2017, Sutherland has created a shared services model that obviates the need for participating California health plans to separately build and update parallel databases to track the availability of providers of nonurgent care for Medicaid reci[...]

  • Benefitfocus: Strategy Shift & Other Key Updates

    Apr 11, 2019, by Sven Lohse

      Benefitfocus, the cloud-based benefits management platform and services provider, recently hosted 1,200 benefits professionals at their annual One Place conference in Charleston, S.C. The conference featured updates on Benefitfocus’ strategy, enterprise benefits management t[...]

  • How Sutherland Facilitated Coopetition Among California Health Plans

    Mar 29, 2019, by Sven Lohse

      In this blog, I look at how Sutherland tackled the challenge of health plans maintaining accurate provider data in the state of California. The challenge: inaccurate health plan data about providers It’s been difficult for health plans in California to maintain accurate, up[...]

  • Rising U.S. Healthcare Costs: Time to Address the Root Causes

    Dec 13, 2018, by Sven Lohse

      The challenge of rising healthcare costs in the U.S. has been obvious for decades. Or has it? Various interventions have been attempted, but health costs as a percentage of GDP are forecast to continue to climb. National U.S. healthcare expenditure as a percentage of GDP has risen from[...]

view all blog posts

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