Healthcare Business Process as a Service (BPaaS)
Built for Healthcare. Powered by Cloud. Designed for Scale.
With pressures mounting across the healthcare industry — from rising costs, administrative complexity, reimbursement uncertainty, transformation impediments, and regulatory challenges — organizations need options to get ahead. Organizations have tried incremental technology upgrades, but point solutions are only as good as the underlying technology.
Real Results. Real Impact.
reduced implementation time
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savings per member per month / per patient per month
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capital expense avoidance
accuracy and compliance
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reduced cost in UM operations
Cloud-Empowered Outcomes
Sagility BPaaS solves this by unifying deep domain expertise, tech-led transformation, and trusted collaboration that enable a modern, cloud-powered healthcare delivery framework. Our two decades plus healthcare experience and AI-led process expertise catapult conventional workflows into precise end-to-end execution and delivery.
How the Sagility BPaaS Delivery Model Works
Sagility BPaaS delivers end-to-end healthcare operations through a fully managed, technology-embedded operating model. Unlike traditional outsourcing that relies primarily on labor, Sagility BPaaS combines people, platforms, AI, analytics, automation, workflow orchestration, and accountable governance into a single, outcome-driven service that includes:
Consistent operational processes that optimize payer and provider business performance
Advanced technology embedded directly into all workflows
Automation that reduces manual steps and rework
SLAs that ensure accuracy, cycle time reductions, audit readiness and regulatory compliance
Predictable, scalable cost models that shift from FTE- to subscription-based
Continuous improvement: AI model tuning, automation expansion, compliance updates, and analytics-driven process optimization
Sagility BPaaS services are HIPAA‑compliant, as well as HITRUST and SOC 2 aligned.
Discover How BPaaS Built for Healthcare Ensures End-to-End Efficiency
Claims & Membership Management as a Service
Removing end-to-end administrative burden from the plan, claims BPaaS ensures tangible outcomes through PMPM pricing. We combine enabling technologies and regulatory compliance into a unified service designed to improve accuracy, efficiency, and confidence.
Enrollment and Billing as a Service
Our solution addresses enrollment and billing functions for the Medicare (MA / MAPD / PDP) and ACA plans. Integrating automation into the enrollment process, the platform improves accuracy and ensures compliance.
Provider Lifecycle Management as a Service
Our Provider Lifecycle Management solution helps health plans automate provider data accuracy and simplifies workflow operations using the Sagility Provider Forward platform. Enhanced credentialing accelerates committee assignments and audits.
UM as a Service
This solution addresses both the cost of UM operations and medical costs to deliver superior financial and clinical outcomes. Using the latest GenAI and automation, we enable real-time and electronic clinical decision support.
Appeals and Grievance as a Service
This solution manages intake, communication, triage, resolution, and follow-up. With advanced technologies like AI, NLP, and RPA, we streamline workflows, improve audit readiness, reduce costs, and deliver better experiences.
Payment Integrity as a Service
This solution is a collaboration between our coding and clinical teams to provide predictable operational excellence using analytics and technology. Data mining and contract repricing help us find gaps and anomalies to initiate recovery.
Our Accreditations
Industry-recognized certifications that demonstrate our commitment to quality, security, and excellence.
Straight from the Source
We’re more than a vendor, we’re a partner. Here’s what our clients have to say:
Sagility brings deep operational and process expertise and pivots quickly in response to emerging needs. The team is highly receptive to feedback and takes action with minimal direction.
Associate Director, Payment Integrity,
National Health Plan
Sagility is a team I can count on to give their best effort and work diligently to complete any assigned task. They make excellent use of available resources to deliver work efficiently, effectively, and accurately.
Operations Specialist, Implementation, and Strategic Projects,
Regional Health Plan
Their strength lies in their flexibility and adaptability — stepping in to support any situation and responding quickly to issues. The Sagility team in Bangalore is a tremendous asset to the organization. The office environment and team culture make it feel as though you are walking into a client facility when on site.
Vice President, Operations,
Healthcare Financial Services Company
Case Studies
See how we’ve helped payers unlock millions in savings and streamline operations:
Insights & Resources
Stay informed with the latest thinking on healthcare payer operations:
Ready to Work Smarter with Sagility?
Let’s explore innovative solutions tailored to your needs — and get more done, together.