Skip to main content
Informational

Data use:

We use cookies and similar tools to make your use of this website easy and to keep it working properly. We may share data about you and how you use the site with third parties, such as analytics and marketing partners. Learn more in our Privacy Policy and Terms of Use. By continuing to use the site, you agree to this.

Healthcare operations and technology

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

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.

Clinical operations

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

Enterprise imaging

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

Network connectivity

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

Pharmacy technology solutions

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

Program Operations

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

Revenue cycle management

Solutions to help you strengthen margins, improve efficiency and elevate the patient experience.

Risk adjustment, quality and engagement

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

Enterprise Partnership

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

Payment integrity

Improve payment accuracy across the claim lifecycle.

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.

Related healthcare insights

Video

Always innovating: AI solutions, human decisions

Hear from Alexandra Povlishock, SVP Product, how she and her team use AI and interoperability to help simplify prior authorization.

Podcast

Building for 2030 starts today

In this podcast, Optum quality expert Shariff Baseer discusses how forward-thinking organizations are moving from seasonal quality programs to connected, closed-loop approaches that support better outcomes, an approach reflected in emerging solutions such as Optum Value Connect.

On-demand webinar

Autonomous Coding Readiness: What Healthcare Leaders Need to Know

Explore how AI-enabled autonomous coding helps automate routine work, improve efficiency and support scalable revenue cycle transformation.

On-demand webinar

Advancing retrospective risk adjustment to support point-of-care impact

Watch the webinar to gain practical strategies for enhancing retrospective risk adjustment performance.

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