Inch Wide –
Mile Deep

Transforming Healthcare Payers, TPAs, and ASOs with a suite of enterprise solutions! It is in our DNA to create new capabilities with deep healthcare subject matter expertise to respond to the technology needs of today and tomorrow!
Our Story - Section Banner

Founded in 2008, we are one of the fastest-growing healthcare technology solutions providers offering end-to-end solutions to address the pain points for Healthcare Payers, Third-Party Administrators (TPAs), and Administrative Services Organizations (ASOs). We are the leading player in the benefit plan management vertical with deep expertise for Large/Small Groups, and Individuals across all lines of business (Commercial, Medicaid, Medicare, and ACA QHPs).

 

Health Plans

With a single platform, health plans can digitally transform benefit plan management; client onboarding; member and provider inquiry; provider data lifecycle and contracts management; and value-based payment reconciliation.

 

TPAs and ASOs

We help TPAs and ASOs optimize operational efficiency and improve outcomes with end-to-end solutions in areas including benefit plan management; client onboarding and enrollment; member and provider inquiry management; provider data lifecycle management; provider, employer group, and member contracts management; and value-based payment reimbursement.

 

Our focus is to improve healthcare outcomes and help ASOs and TPAs achieve operational excellence, improve quality of care delivery, and member experience with just a few clicks. We are also quickly emerging as a player in other areas including: Provider Data Lifecycle and Contract Management; Client Setup, Onboarding, and Enrollment Management; Member and Provider Benefit Inquiry; and Value-Based Payment Reconciliation.

 

The company ranked 38 in the 2021 Inc. 5000 Regionals list of the fastest-growing private companies in the Midwest region. In 2020, the company ranked 164 in Deloitte’s Technology Fast 500™ list and 645 in the Inc. 5000 America’s fastest-growing private companies list, and also recognized in Gartner’s 2020 Hype Cycle for U.S. Healthcare Payers report.

Vision

To build highly configurable, modular software solutions with the right balance of usability and technology, empowering business users to configure the system with minimal IT intervention.

Mission

To be the market leader using our deep expertise by providing end-to-end modular integrated solutions to Healthcare Payers, TPAs, and ASOs, including Benefit Plan Management (Commercial, Medicaid, Medicare, and QHP – ACA), Provider Data Lifecycle and Contracts Management, Client Setup, Onboarding, and Enrollment Management, and Value-Based Payment Reconciliation.

Industry Recognition

  • Big Awards For Business 2024 Logo
  • Inc-500-2024-Logo
  • Hitrust-Certified-2023-Logo
  • Crains-Fast50-2024-Logo
  • Inc-Power-Partner-logo
  • IDC-2023-Logo
  • Globee-2023-Logo
  • merican-Business-2023-Logo
  • Inc-Regionals-Midwest-2023-Logo
  • Technology-Fast-500_2022-Logo
  • WE-Matters-Logo
  • SOC-1-Logo
  • SOC-2-Logo
  • Microsoft partner Health Plan IT solutions company
  • ISAE 3402-Logo
Our Capabilities

Accelerate enterprise transformation with our innovative and modular healthcare technology services and deep industry expertise to deliver lasting value. Explore our capabilities helping health plans automate, optimize, and achieve operational excellence with a few clicks.

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Careers at Simplify Healthcare

A career with Simplify Healthcare puts you at the forefront of the learning curve. Work with some of the most passionate and driven people in the industry and get an opportunity to grow your career to new heights.

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Client satisfaction, solving problems, and enhancing experiences are at the cornerstone of everything we do at Simplify Healthcare. If you are as passionate about the possibilities as we are, discover the best opportunities and capabilities to make your current operations success and drive success.

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