Business Process Outsourcing Designed for Maximum Results

AI-enabled BPO/BPM model that blends expertise, technology, and accountability for real operational impact, delivered onshore, offshore, or hybrid.

Tailored Solutions deployed end to end or exactly where you need them
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BPO/BPM That Accelerates Performance End‑to‑End or in Targeted Areas Across Core Operations

Claims Processing

Configuration

Eligibility & Enrollment

Encounters

Fulfillment

Member & Provider Contact Center

Provider Credentialing & Data Management

Fraud, Waste & Abuse

Help Desk

Analytics & Reporting

Appeals & Grievances

Billing & Finance

Earning Trust Beyond Routine Operations

We take on your most complex, high-risk areas, applying deep plan knowledge and AI-driven insight to continuously improve performance, savings, and outcomes TOGETHER.

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Drive Strategic Value, Not Just Task Execution

Cost Predictability and Control

Faster, More Accurate Execution

Better Member and Provider Experiences

Outcome-Based SLAs

Built-In Compliance and Risk Control

Better health outcomes

Why Catalyst BPO/BPM?

True Partner

We learn the nuances of your business and co-own success with you

Deep Payer Expertise

Deep operational insight fueled by 27+ years of payer-exclusive services

Vendor-Agnostic Solutions and Services

Deep expertise in all major core platforms and ancillary technologies

Shared Risk and Accountability

Financially backed SLAs align our incentives with yours

AI and Digital Innovation

Advanced AI & Digital capabilities integrated into operational workflows

“Your Shore” Delivery Model

Onshore, offshore, or hybrid delivery built around your needs

Break Free from Legacy Systems and Step Into the Future with CatalyZe™, Our Adaptive AI-Enabled, BPaaS Framework

Legacy core systems are costly, rigid, and slow to evolve, but replacing them isn’t always realistic. CatalyZe™ was built for payers that want modernization without disruption. Instead of acting like another large platform you have to implement, CatalyZe™ provides platform-agnostic process orchestration that modernizes workflows without “ripping and replacing” legacy systems.

This adaptive, cloud-ready orchestration framework integrates seamlessly with your existing environment, smoothing over fragmented processes, unifying people and technology, and filling the gaps across your operational ecosystem.

CatalyZe™ gives you the flexibility of a “payer-in-a-box” solution, delivering predictable outcomes, streamlined operations, and accelerated business performance while working with the systems you already rely on.

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Start the Conversation

Connect with our experienced team to talk about your goals—and how we can help you meet them.