Healthcare operations and technology

We help organizations evolve through market-leading technology, modernized platforms and unrivaled expertise. 

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Improve operations management and proactively address challenges

Our healthcare operations solutions connect the technology and platforms needed to deliver care and services that work better for everyone. Our customizable tools and expert teams are ready to help you:

  • Improve overall patient experience
  • Ease provider administrative burdens 
  • Leverage data insights and value-based care models
  • Influence quality-focused metrics, such as CMS Star Ratings, HEDIS® measures and NPS® 
  • Lower costs with efficiencies
  • Enable sustainable growth

Explore our operations and technology solutions

Clinical decision support

We bring together the clinical and financial to drive appropriate, high-value care.
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Clinical operations

Bridge the clinical and financial aspects of health care to provide more effective and cost-efficient patient care.
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Enterprise imaging

Accelerate your digital transformation and improve patient outcomes in enterprise imaging.
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Network connectivity

Enhance connectivity and streamline EDI transactions for health care providers, health plans and pharmacies through our nationwide network.
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Pharmacy technology solutions

We support the entire pharmacy claims life cycle, with unparalleled data and insights to optimize pharmacy operations.
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Program Operations

Transform your state’s operations with modern technology complemented by services.
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Revenue cycle management

Solutions to help you strengthen margins, improve efficiency and elevate the patient experience.
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Risk adjustment, quality and engagement

We go beyond risk adjustment to help drive better health outcomes for your members.
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Enterprise Performance Partnership

Learn how Enterprise Performance Partnership between Optum and health systems can reduce costs, improve operations and empower local talent.
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Payment integrity

Improve payment accuracy across the claim lifecycle.
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Value-based care and provider enablement

Evolve your value-based care strategy for lasting impact and optimize your provider enablement operations using our advanced tools and capabilities.
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Related healthcare insights

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Beyond payment integrity: An AI-driven approach to affordability

Medical costs are rising, and health plans need solutions. See how an AI-driven, enterprise-wide approach may be the key to affordability.

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Upstream partnerships that maximize payment integrity strategies

Find out how aligning payment integrity with other complementary functions at health plans reduces unnecessary spend and provider abrasion.

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Build a more sustainable provider system

Address access, capacity and workforce challenges head-on.

On-demand webinar

MD Perspective: Reducing the burden of costly secondary reviews

Explore how objective criteria, strong clinical documentation and medical review automation can help improve workflow efficiency, generate time savings, and enhance secondary review.

See how our operations and technology solutions can help your organization thrive

Get in touch with our sales team today

Fill out this form and we’ll get back to you shortly.

Need help or account access? View our support resources or sign in.

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