Operations and technology services
Healthcare transformation begins with a strong foundation
Can better operations and technology improve customer satisfaction? Absolutely.
Carelon has over 25,000 global associates dedicated to technical, clinical, administrative, and operational support services. Our toolbox includes claims processing, cloud adoption, provider system management, analytics, and contact center operations — all to make healthcare run smoothly, seamlessly, and efficiently.
Healthcare digital transformation is possible. Whether you need end-to-end operations management or individual services, we can help. Let’s simplify the complex together.
The impact of a global partner
in value delivered to our customers in the last five years
reduction in manual effort through digitalized enrollment
We connect digital innovation with ease of implementation
With our advanced technologies, clinical experience, and process expertise, we know how to optimize operations and improve the business of health. Our expansive suite of unrivaled, customizable capabilities is scalable for businesses of any size.
And we don’t stop there. Once our digital solutions are in place, we are there when you need us to answer questions and to help ensure your operations run smoothly.
Data and digital solutions
We leverage digital solutions powered by artificial intelligence (AI) and advanced analytics to optimize and unlock insights in your data, reduce operational complexity, and enable exceptional care.
We improve accuracy and streamline healthcare operations through processes like payment automation, claims processing, and inventory management.
We maximize your productivity, business continuity, and return on technology investments through application support, cloud computing, development, and modernization services.
Business process as a service (BPaaS)
We modernize, streamline, and scale your healthcare operations with customizable, end-to-end, and easy-to-use systems supporting a wide range of business needs.
Streamlining operations to empower health plans
We’re here to help simplify the complex so you can focus on providing exceptional, affordable care.
By partnering with us, you have access to:
- Administrative efficiencies through process improvement, automation, and platform modernization.
- Simplified and personalized multichannel interactions to support members and providers.
- Increased delivery performance that adds capacity and lowers total cost of ownership.
- Tailored solutions informed by deep healthcare operations and technology expertise and a collaborative approach to problem solving.
Interested in transforming how healthcare works? Explore our global solutions site to learn more.
See healthcare from our perspective
We’re always looking ahead at healthcare trends and potential breakthrough health technologies that can transform the future of the industry and create exceptional outcomes for all stakeholders.
Effective claims operations through scaled digital adoption
Discover how claims operations can be made more effective with the help of AI and machine learning.