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Capgemini - Healthcare Payer Agility and Innovation with BPS Intervention

Vendor Analysis

by Bilal Chaudhry

published on Oct 29, 2025

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Report Overview:

This NelsonHall vendor assessment analyzes Capgemini's offerings and capabilities in Healthcare Payer Agility and Innovation with BPS Intervention.

Who is this Report for:

NelsonHall’s Healthcare Payer BPS profile on Capgemini is a comprehensive assessment of Capgemini’s offerings and capabilities, designed for:

  • Sourcing managers monitoring the capabilities of existing suppliers of Healthcare BPS and identifying vendor suitability for Healthcare Payer BPS RFPs
  • Vendor marketing, sales, and business managers looking to benchmark themselves against their peers
  • Financial analysts and investors specializing in the Healthcare Payer BPS sector.

Scope of this Report:

The report provides a comprehensive and objective analysis of Capgemini’s Healthcare Payer BPS offerings, capabilities, and market and financial strengths, including:

  • Identification of the company’s strategy, emphasis, and new developments
  • Analysis of the company’s strengths, challenges, and outlook
  • Revenue estimates
  • Analysis of the profile of the company’s customer base, including the company’s targeting strategy and examples of current contracts
  • Analysis of the company’s offerings and key service components
  • Analysis of the company’s delivery organization, including the location of delivery centers.

Key Findings & Highlights:

Capgemini is a major global IT services provider and consulting company founded in 1967 and headquartered in Paris, France, with ~341k employees globally. It offers services including claims administration, member services and engagement, quality, risk, and performance management, as well as platform-enabled operations and support for private and public sector healthcare payers.

Capgemini offerings discussed with NelsonHall were:

  • Claims Management and Administration (e.g., COB checks and outreach to improve claim accuracy early)
  • Member Services and Engagement (e.g., unified platform preventing duplicate records and silos)
  • Quality, Risk, and Performance Management (e.g., AI to extract diagnoses to improve risk scores)
  • Platform-Enabled Operations and Integrations Support (e.g., EDI routing to reduce errors and delays).

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