Health Plans


Market and regulatory changes in recent years are driving health plans to collaborate with provider organizations and effectively leverage both clinical and financial information to address these changes. As a global leader in healthcare technology, CitiusTech has deep expertise in clinical data and related technologies - EHR, HIS, healthcare information exchanges (HIE), medical imaging, ancillary systems (labs, pharmacy) and other clinical systems. In addition, our strong expertise in health plans and managed care workflows enable us to help our clients leverage emerging technologies and build competitive advantage.

Health Plan & Payers, Managed Care Organizations, Disease Management Companies, Payer Services Organizations

Healthcare Technology Services

Healthcare Payer Technology Services, CitiusTech

Application Portfolio Services
Application development & ongoing maintenance (Core areas, administrative solutions); Building member/provider portals; Sustaining and re-engineering existing and legacy applications.

Enterprise Data Services & Analytics
EDW development/enhancements; data management DBA, data aggregation, data handling, data governance, data normalization, MPI; Big Data to generate business insights.

Quality & Regulatory Reporting
Implement regulatory/payer submissions on HEDIS, Star, State Medicaid; Develop custom use cases, measures and custom dashboards/scorecards.


Payer-Provider Data Integration
Payer–Provider data integration across data sources such as Claims, Provider, Pharmacy & HIE Data; Connecting to external partners through custom interfaces, parsers and adapters.

Consumer Engagement
Web, mobile & remote monitoring solutions for patient self management; Tools to define patient cohorts, implement disease protocols & identify care gaps; Develop & deploy disease registries.

Healthcare Technology Platforms

Healthcare Payer Technology Solutions, CitiusTech

Certified healthcare BI/analytics platform with 600+ clinical, financial, operational & regulatory KPIs, largest CQM library. Actionable analytics to drive quality, revenue, cost & operational outcomes.

Big data platform to accelerate big data strategy for master data management and automated analytics. Unique machine learning and unstructured data analytics capabilities.

Platform to accelerate mobile driven patient and physician engagement & IOT. Enables mobile strategy across apps and devices in conjunction with the enterprise data and capabilities.

Cloud-hosted clinical rules engine that provides advanced CQM computation capabilities. HIPAA-compliant web services for easy integration with healthcare applications.

Suite of predictive analytics tools & statistical services in healthcare. Tools supported by team of data scientist and healthcare data modelers for statistical mining, predictive analytics.

Integrated AnalytiX
Integrated suite of enterprise platforms for data management, analytics and mobility to help healthcare organizations accelerate their quality, cost and care initiatives.

CitiusTech Videos

Accelerating Innovation in Healthcare

With deep expertise in clinical data, healthcare workflows and interoperability standards, CitiusTech enables organizations converge the three different worlds of providers, payers and life sciences.

  • Health Plan Offerings

    CitiusTech enables health plans and ACOs leverage clinical data to manage shared risk, optimize operational performance, engage consumers and enhance population care.

  • Health Plans Success Stories

    CitiusTech has extensive experience in the area of disease registries, payer-provider communication systems, population health management, claims analytics, ICD-10 compliance and FWA.

To learn more about CitiusTech’s offering for Health Plans, please drop us an email at or
call us at +1 (877) CITIUS1.