Full-Time
Posted on 11/1/2025
Value-based care management via PHSO platform
$165.3k - $226.4k/yr
Cambridge, MA, USA
Hybrid
Onsite 3 days per week in Cambridge, MA.
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Lumeris provides value-based care managed services for health systems and physician groups, delivering technology, services, and risk management to move care from fee-for-service to value-based models. Its Population Health Services Organization (PHSO) combines an AI-powered platform called Tom with workflows and expert support to coordinate care, schedule screenings, and manage chronic diseases across patient populations. The company differentiates itself through risk-sharing partnerships with providers and payers, leveraging Essence Healthcare’s proven value-based model to pursue both quality and cost-efficiency. Its goal is to expand value-based care adoption by forming broader risk-based partnerships that improve patient outcomes while delivering predictable, efficient care delivery.
Company Size
1,001-5,000
Company Stage
Late Stage VC
Total Funding
$507M
Headquarters
Maryland Heights, Missouri
Founded
2001
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Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
Health Savings Account/Flexible Spending Account
Unlimited Paid Time Off
Flexible Work Hours
Paid Vacation
Paid Sick Leave
Paid Holidays
Sabbatical Leave
Hybrid Work Options
401(k) Company Match
Employee Assistance Program
Employee Resource Groups
Employee Discount Program
Learning and Development Opportunities
Lumeris has launched Ask Tom, an AI-powered analytics capability that gives health system leaders conversational access to enterprise data through its Tom Primary Care as a Service platform. The tool allows users to query complex healthcare data in plain English and receive instant answers, visualisations and recommendations. Ask Tom aggregates data from clinical, claims, pharmacy and social determinants sources to create a comprehensive view of patients and populations. The platform features agentic capabilities that continuously monitor enterprise data, detect anomalies and surface improvement opportunities. The launch addresses mounting pressure in US primary care, where nearly 100 million adults lack access and a shortage of 90,000 physicians is projected over the next decade. Ask Tom is currently available in limited preview, with broader availability planned for 2026.
Lumeris and Hackensack Meridian Health have expanded their value-based care partnership to include Traditional Medicare through the Medicare Shared Savings Program ACO. The collaboration builds on their existing work with commercial and Medicare Advantage patients across HMH's Clinically Integrated Network. The HMH ACO comprises over 700 doctors serving approximately 46,200 patients. In 2024, the organisation achieved $40 million in healthcare savings with an 87.27% quality score from CMS, earning over $18 million in shared savings. Previous HMH ACO groups saved more than $247 million between 2012 and 2021. Lumeris will support the programme with its AI-powered Tom platform, enabling performance tracking and workflow management. The expansion aims to improve care coordination whilst reducing avoidable utilisation and administrative burden for Medicare beneficiaries across New Jersey.
Lumeris, a value-based care strategy company, secured $100 million in equity capital led by Deerfield Management, with participation from Endeavor Health and others. The funds will support expanding provider partnerships. Lumeris has a strong track record, including a five-star Medicare Advantage plan. Recent partnerships include Stanford Health Care and Integrated Physician Network. The company has also expanded its leadership team with key appointments.
/PRNewswire/ -- St. Louis-based, privately held Lumeris announced the completion of a $100M equity capital raise. The funding round was led by Deerfield...