Z

ZeOmega

Population Health & Healthcare Analytics

About ZeOmega

ZeOmega is a healthcare technology company that delivers comprehensive population health management and care management solutions through its flagship Jiva Healthcare Enterprise Management Platform. The company serves health plans, health systems, accountable care organizations (ACOs), Medicare Advantage plans, and Medicaid-managed care organizations with AI-powered tools designed to optimize quality of care, operational efficiency, and financial performance. The Jiva platform creates a single source of truth by integrating and transforming data from across the healthcare enterprise, enabling AI-powered population health insights that drive cost, risk, and quality improvements. The platform features intelligent workflow automation for care management, embedding best-in-class practices for personalized, whole-health interventions. Key solutions include care management, population health management, quality improvement, risk adjustment, social determinants of health (SDOH) tools, electronic prior authorization (Smart Auth Gateway), member engagement, and utilization management. ZeOmega has been recognized as #1 Best in KLAS for Payer Care Management Solutions for four consecutive years (2022-2025), demonstrating excellence in culture, loyalty, operations, product quality, relationships, and value. The company was also recognized as a Visionary Incumbent in the 2025 Gartner Market Guide for U.S. Healthcare Payer Care Management Workflow Applications and featured for leadership in the 2026 Gartner Market Guide for Intelligent Prior Authorization. Additional recognition includes being named a Leader in the Everest Group Care Management PEAK Matrix Assessment for 2024 and 2025, and a Major Player in the 2024 IDC MarketScape for U.S. Health Plan Prior Authorization Solutions. The company's solutions support value-based care initiatives by combining clinical and claims data to reduce risk, close care gaps, and ensure optimal outcomes. Built-in risk adjustment capabilities help drive success in PMPM payment models and maximize CMS Star ratings performance for Medicare Advantage plans.

Who It Serves

Health PlansHealth SystemsMedicare Advantage PlansMedicaid-Managed Care PlansAccountable Care Organizations (ACOs)Commercial Health Plans

Milestones & Awards

Recent Milestones

Integration of SDOH Social Care solution with Microsoft Cloud for Healthcare; Recognition in 2026 Gartner Market Guide for Intelligent Prior Authorization; Named #1 Best in KLAS for Payer Care Management Solutions 2022-2025; Named Leader in Everest Group Care Management PEAK Matrix 2024-2025

Awards & Recognition

#1 Best in KLAS for Payer Care Management Solutions (2022, 2023, 2024, 2025); Visionary Incumbent in 2025 Gartner Market Guide for U.S. Healthcare Payer Care Management Workflow Applications; Featured in 2026 Gartner Market Guide for Intelligent Prior Authorization; Leader in Everest Group Care Management PEAK Matrix Assessment (2024, 2025); Major Player in 2024 IDC MarketScape for U.S. Health Plan Prior Authorization Solutions

Key Partnerships

Microsoft (Azure/Cloud for Healthcare)Clearlink (delegated clinical services)

Social & Media

Latest Updates

Company Details

Headquarters
Plano, TX, USA

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Security & Compliance

HIPAA
Last updated Jul 6, 2026

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