Healthcare Consulting Services
Practical Solutions for Healthcare’s Most Persistent Challenges
Healthcare organizations are facing converging pressures: Margin erosion, the rise of consumerism, fragmented or inefficient operations, insight blind spots, mounting tech debt, and an increasingly complex regulatory landscape. These challenges aren’t unique to your organization — they’re defining the operating reality across the industry. Our consulting practice was purpose-built for this moment.
We understand the scale of transformation required, and we’ve deliberately aligned our capabilities, expertise, and technology to deliver creative and sustainable solutions to address the industry’s most persistent challenges and help future-proof organizations for the years ahead.
Real Results. Real Impact.
$
in annually recurring cost takeout across a payer’s claims, payment integrity, and contact centers
$
of addressable clinical program spend opportunities identified
targeted recommendations delivered through a comprehensive functional area assessment
Sagility’s Consulting Services
Sagility Consulting Services help healthcare organizations solve complex operational challenges and accelerate value realization. With a bench of 300+ data scientists, 200+ Lean Six Sigma experts, and seasoned industry leaders, we deliver tech-led advisory support that strengthens strategy, improves efficiency, reduces costs, and drives measurable outcomes. Our team brings deep payer and provider expertise, rich operational data, and a flexible resourcing model that supports everything from assessment through execution and delivery.
Bespoke Advisory Services
Sagility delivers tailored consulting services powered deep payer and provider expertise, advanced analytics, and a flexible bench of specialists to solve complex, cross-functional challenges.
Key Capabilities
- Bespoke strategy and operational assessments
- Rapid deployment of subject matter experts
- Insights-driven recommendations aligned to organizational goals
Business Transformation & Operational Excellence
Sagility helps healthcare organizations elevate efficiency, streamline workflows and unlock measurable performance gains using Lean, Six Sigma and data-backed operational insights.
Key Capabilities
- End-to-end process assessments/workflow optimization
- Functional area assessments (contact center, claims, clinical, etc.)
- Change and large-scale program management
- Advanced analytics and reporting
- Population health management and Star Rating improvement
Digital Transformation
Sagility guides clients through technology modernization, platform evaluations, and implementation planning to enable smarter, faster and more automated operations.
Key Capabilities
- Platform and system assessments
- Platform migration support
- Automation and analytics enablement
- BPaaS strategy, implementation, and operation
- Intelligent automation strategy and enablement
Sagi360
Sagility leverages Sagi360 Customer Touchpoint Analytics to analyze operational touchpoints, benchmark performance, and identify targeted opportunities to improve Star rating leading measures and strategically takeout costs.
Sagi360 is unique in that it aggregates data across multiple departments for a holistic end-to-end view of operational performance and drive changes upstream to minimize unnecessary downstream work and engagement.
Key Capabilities
- Touchpoint analytics and benchmarking
- Customer journey mapping
- Actionable, prioritized recommendations
Customer Experience
Sagility enhances customer experience by optimizing the people, processes and technology that power payer/member touchpoints and omnichannel engagement. Our experts assess talent models, workflow design, workforce management, training, quality, and channel performance to remove friction and elevate service delivery.
Key Capabilities
- Journey mapping
- Value stream transformation
- Omnichannel enablement
- Sentiment and interaction analysis
- Agent assist and call transcription services
Decades of Partnership, Performance, and Progress.
Clients stay with Sagility for a reason: deep-domain expertise, measurable outcomes, and a true partnership approach. Purpose-built for healthcare and trusted by the nation’s top health plans and providers, we bring decades of experience and a proven ability to simplify operations and deliver lasting impact.
Straight from the Source
We’re more than a vendor, we’re a partner. Here’s what our clients have to say:
The team has been exceptional. They are responsive, have great communication skills, and have helped us streamline our claims processing workflow. Their AI-powered solutions have significantly reduced our manual workload and improved accuracy rates across the board.
VP of Operations,
U.S. Fortune 100 health insurance company
Their innovative approach to revenue cycle management transformed our operations. We saw a 40% reduction in claim denials and a 30% improvement in processing speed within just three months of implementation.
Chief Financial Officer,
Regional hospital network
The implementation was seamless, and their support team is outstanding. We’ve achieved 98% accuracy in claims processing and reduced our days in A/R from 45 to 28. Their technology is truly game-changing for healthcare providers.
Revenue Cycle Director,
Multi-specialty physician group
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.