Healthcare Technical Operations Manager

HealthEdge launches unified ai-powered platform to guarantee financial outcomes for health plans. ANI 05 Oct 2026, 14:42 GMT+ BusinessWire India Boston [US] / Bengaluru (Karnataka) [India], October 5: HealthEdge, the AI-powered operational infrastructure for health plans, today introduced a newly unified platform and portfolio of integrated solutions that are designed to deliver measurable financial outcomes. The launch reflects the continued evolution of HealthEdge following its merger with UST HealthProof, bringing advanced payer technology together with implementation and operational expertise in a seamless offering. By aligning software, delivery and ongoing execution, HealthEdge is taking greater responsibility for modernizing health plan operations and the financial and operational performance that follows. Health plans face growing pressure to replace fragmented legacy systems, operate more efficiently and respond faster to regulatory changes, market conditions and member expectations. Yet traditional modernization programs can require health plans to accept years of implementation risk, unpredictable expenses and continued dependence on disconnected systems and vendors. HealthEdge offers a more accountable path by connecting data, technology and execution across core health plan operations. With an established track record of successful implementations and 110 million covered lives served across the health care ecosystem, HealthEdge combines proven operating experience with a modern platform, built for scalability and AI at its core, to apply automation and drive continuous improvements that compound over time. "Health plans know they need to modernize, but they should not have to accept open-ended costs and operational disruption as the price of change," said Kevin Adams, CEO of HealthEdge. "By bringing technology, implementation and operations together, we're able to define the financial commitment upfront, assume more of the risk, and stand behind our guarantee of delivering cost savings in the range of 25 to 40% for qualifying engagements. That's the accountability health plans deserve from a transformation partner." Financial Accountability from the Outset HealthEdge establishes the foundation for an enduring financial edge at the outset of each engagement. This starts by developing a clear view of a payer's current operating costs, workflows and performance, and is followed by identifying opportunities to reduce administrative expense, improve accuracy and automate work. Performance commitments are tailored to this evaluation with an agreed per-member-per-month (PMPM) operating cost for qualifying engagements. Through its Enduring Edge BPaaS delivery model, HealthEdge shares financial risk for implementation and operation, aligning with a health plan's goals of reducing cost and improving efficiency, and, in qualifying engagements, delivering 25-40% in total cost savings backed by SLA-enforced contractual commitments. One Platform Spanning Critical Health Plan Operations HealthEdge combines flexible delivery models with an integrated suite of software solutions to transform payer operations, connecting data, workflows and performance across the health plan enterprise. Instead of relying on untested homegrown systems or separate vendors for individual functions, payers gain a coordinated foundation that can improve efficiency, reduce operational friction and strengthen financial performance. The newly unified HealthEdge portfolio includes: Delivery Models - Enduring Edge (Business Process as a Service) - A full-service performance partnership that integrates HealthEdge's AI-powered technology platform with end-to-end operational execution: reducing costs, managing risk, and delivering sustained financial improvements that compound over time. - Integration Edge (Ecosystem Platform as a Service) - A risk-free implementation model that connects HealthEdge's technology, workflows, and domain expertise into a single operating environment: accelerating measurable performance improvement without requiring full operational support. - HealthRules Edge (formerly HealthRules Payer) - A cloud-native core administrative processing system built on more than two decades of expertise to power accurate, efficient claims administration for health plans of every size with AI embedded directly into claims workflows. - Payment Accuracy Edge (formerly HealthEdge Source) - Prospective payment integrity and accuracy capabilities that unify claims pricing, editing and real-time analytics in one streamlined platform to ensure accurate payments for continuous cost containment. - Clinical Edge (formerly GuidingCare) - An integrated care management platform that streamlines workflows, supports better care-quality outcomes and helps manage costs. - Provider Atlas Edge (formerly HealthEdge Provider Data Management) - A centralized, reliable source of provider information that reduces operational friction, administrative risk and compliance exposure across the health plan ecosystem. - Revenue Align Edge (Prospective and Retrospective Risk Adjustment solutions) - Real-time prospective and retrospective risk adjustment solutions that provide a clearer, data-driven view of risk across the health plan enterprise, supporting proactive management and stronger compliance. Health plans can deploy the components of the platform they need today and incorporate capabilities from HealthEdge and its ecosystem of partners as needed. This integrated technology foundation is designed to reduce fragmentation while supporting evolving business needs. A Platform Built for Scale with AI Embedded at its Core HealthEdge embeds AI directly into the systems of record and everyday workflows that run health plan operations. This approach allows AI to work within the operational context of claims, payments, care management, provider management, and risk adjustment to access the information used by health plan teams, assist with decisions and support action without creating another disconnected technology layer. By combining intelligent automation with the rules, controls and data that govern critical operations, HealthEdge can connect AI adoption directly to measurable improvements in cost, accuracy and speed. The HealthEdge platform is engineered to deliver AI-powered operations at scale and exceed the demands of the nation's largest health plans. Working with Amazon Web Services, HealthEdge has demonstrated that a single instance of HealthRules Edge can process the claims volume of a health plan with more than 40 million members while reducing latency for key transactions by more than 50%. With cloud infrastructure that scales dynamically alongside transaction volume, the platform gives health plans the capacity to support membership growth, rising claims complexity and expanding business needs without sacrificing performance or reliability. HealthEdge's model is already delivering results at scale today. The platform supports six of the nine largest national health plans, along with regional and local payers nationwide. For more information on the HealthEdge platform and solutions that reach across the health plan enterprise, visit healthedge.com. (ADVERTORIAL DISCLAIMER: The above press release has been provided by BusinessWire India. ANI will not be responsible in any way for the content of the same)

HealthEdge opens new campus at Technopark trivandrum. Trivandrum ( Aug 2026): Healthcare technology company HealthEdge has expanded its presence in Kerala with the opening of a new 162,000 sq. ft. campus at Brigade Square, Technopark Phase I, Thiruvananthapuram. The expansion marks a significant investment in HealthEdge's India operations across engineering, product development, client services and operations, and reflects the company's long-term growth plans following its merger with UST HealthProof. The new campus was inaugurated by Seeram Sambasiva Rao IAS, Special Secretary, Electronics & IT Department, Government of Kerala, in the presence of Sandeep Kumar IAS, CEO, Technopark. Speaking at the event, Seeram Sambasiva Rao said Kerala is a hidden gem that needs greater promotion and highlighted the state's focus on attracting private investments through various initiatives aimed at strengthening the technology sector. The new HealthEdge campus occupies approximately 162,000 sq. ft. across 11 of Brigade Square's 12 floors and has seating capacity for around 1,500 employees. Brigade Square comprises approximately 200,000 sq. ft. across the ground floor, two basement levels and 12 upper floors. The IGBC LEED Gold Certified facility has been designed to support collaboration and employee wellbeing, with a boardroom, executive dining area, dedicated cafeteria, training rooms, collaborative workspaces, wellness rooms and a mothers' room. Kevin Adams, CEO of HealthEdge, said Thiruvananthapuram has emerged as one of India's most compelling destinations for global technology companies, highlighting the city's talent, infrastructure and growing ecosystem of multinational companies and Global Capability Centres. He described the new campus as more than just a new building, calling it a long-term commitment to a city and community that has been integral to HealthEdge's growth. HealthEdge provides AI-powered software and technology-enabled services that help health plans modernise healthcare administration and currently serves more than 110 million covered lives across the United States. Its integrated platform spans claims administration, quality improvement, prospective payment accuracy, provider network management, care management, member engagement and risk adjustment. Following Bain Capital's acquisition of UST HealthProof, HealthEdge and UST HealthProof now operate under the HealthEdge brand. The inauguration was also attended by Alexander Varghese, President, UST; Ganesh Nayak, Director, STPI; Hariprasad Krishnapillai, Vice Chairman, GTech; Hrishikesh Nair, COO, Brigade Group; and Gomathy G, Assistant Commissioner of Customs. HealthEdge has an established presence across India with offices in Chennai, Coimbatore, Bengaluru, Hyderabad, Pune, Kochi and Thiruvananthapuram. The new Technopark campus further strengthens the company's presence in Kerala and adds to Thiruvananthapuram's growing profile as a destination for global technology and healthcare technology operations.