JSON twin: https://www.healthaidb.com/software/zeomega.json
ZeOmega
https://www.zeomega.com/solutions/jiva-healthcare-enterprise-management-platform
ZeOmega's Jiva is an AI-powered population health and payer care-management platform that aggregates clinical and claims data to automate workflows, drive quality improvement, manage risk adjustment, and support member engagement.
Jiva (ZeOmega) is an enterprise population health and care-management platform for health plans, health systems, ACOs and risk-bearing organizations. It normalizes data from EMRs, claims, labs and PBMs into a secure data lake (HealthUnity), applies analytics and SDOH-aware risk stratification, delivers clinical content-driven care pathways, automated workflows (including electronic prior authorization), quality/Star ratings management, and member/provider engagement tools. The platform is sold with professional services, implementation, and integrations for enterprise deployments.
yes
2001
P1845
2025-09-07
commercial proprietary
Contact vendor for licensing, implementation and professional services pricing; enterprise contracts and demos available.
enterprise_quote
Cloud-hosted (Microsoft Azure); on-prem options available upon request
product
1.0
{
"company_name": "ZeOmega",
"company_url": "https://www.zeomega.com",
"company_offices": [
"United States",
"India"
],
"company_founding": "2001",
"product_url": "https://www.zeomega.com/solutions/jiva-healthcare-enterprise-management-platform",
"categories": [
"population health management",
"care management",
"risk adjustment",
"social determinants of health (SDOH)",
"electronic prior authorization",
"member engagement",
"quality improvement",
"analytics",
"clinical"
],
"market_segment": [
"enterprise"
],
"links": [
"https://www.zeomega.com",
"https://www.zeomega.com/company/about",
"https://www.zeomega.com/solutions/jiva-healthcare-enterprise-management-platform",
"https://www.zeomega.com/company/klas-report",
"https://www.zeomega.com/company/contact-sales",
"https://www.zeomega.com/news-and-events/zeomega-named-1-best-in-klas-r-for-payer-care-management-solutions-for-fourth-consecutive-year",
"https://www.gartner.com/reviews/market/healthcare-value-based-performance-management-analytics/vendor/zeomega/product/jiva",
"https://klasresearch.com/vendor-ratings/zeomega/62901",
"https://www.prnewswire.com/news-releases/zeomega-and-medeanalytics-unveil-joint-population-health-solution-to-accelerate-value-based-care-302494979.html",
"https://www.crunchbase.com/organization/zeomega"
],
"summary": "ZeOmega's Jiva is an AI-powered population health and payer care-management platform that aggregates clinical and claims data to automate workflows, drive quality improvement, manage risk adjustment, and support member engagement.",
"description": "Jiva (ZeOmega) is an enterprise population health and care-management platform for health plans, health systems, ACOs and risk-bearing organizations. It normalizes data from EMRs, claims, labs and PBMs into a secure data lake (HealthUnity), applies analytics and SDOH-aware risk stratification, delivers clinical content-driven care pathways, automated workflows (including electronic prior authorization), quality/Star ratings management, and member/provider engagement tools. The platform is sold with professional services, implementation, and integrations for enterprise deployments.",
"target_users": [
"care managers",
"case managers",
"health plan administrators",
"population health analysts",
"quality improvement teams",
"risk adjustment specialists",
"provider relations teams",
"clinicians",
"members/patients"
],
"specialties": [
"population health",
"care management",
"quality improvement (HEDIS/CMS Stars)",
"risk adjustment",
"social determinants of health (SDOH)",
"prior authorization",
"member engagement",
"value-based care"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for licensing, implementation and professional services pricing; enterprise contracts and demos available.",
"license": "commercial proprietary",
"deployment_model": [
"SaaS",
"cloud",
"on_prem",
"hybrid"
],
"os_platforms": [
"Web",
"iOS",
"Android"
],
"features": [
"Data aggregation and normalization (single source of truth)",
"Population health analytics",
"Care management workflows",
"AI / machine learning insights",
"Configurable business/clinical rules",
"Automated workflows and task routing",
"Clinical intelligence and care pathways",
"Analytics & reporting (quality/program monitoring)",
"Mobile solutions for care teams",
"HIE/connectivity",
"Electronic prior authorization",
"Member engagement tools",
"Risk stratification and risk adjustment support",
"Quality improvement (HEDIS/CMS Stars support)",
"Provider portal"
],
"optional_modules": [
"Electronic Prior Authorization",
"Jiva Care Quality (CQ) Navigator",
"SDOH / Social Care module",
"Provider Portal",
"Member Engagement Navigator",
"Risk Adjustment module",
"Population Health / HealthUnity data lake"
],
"integrations": [
"Microsoft Cloud for Healthcare / Azure",
"EMR/EHR systems (via interfaces)",
"Claims systems / payers",
"Clearinghouses",
"Laboratory systems",
"PBM systems",
"Health Information Exchanges (HIEs)",
"Provider portals"
],
"data_standards": [
"FHIR",
"HL7 v2",
"X12 (claims)"
],
"api_available": "yes",
"system_requirements": "Cloud-hosted (Microsoft Azure); on-prem options available upon request",
"compliance": [
"HIPAA",
"HITECH",
"SOC 2"
],
"certifications": [],
"security_features": [
"Encryption (data at rest/in transit)",
"Role-based access control (RBAC)",
"SSO/SAML",
"Audit logs",
"Two-factor authentication (2FA)"
],
"privacy_features": [
"BAA available",
"Consent management",
"Opt-out controls / consumer privacy rights",
"Data de-identification/anonymization"
],
"data_residency": "",
"customers": [
"Behavioral Health Network, Inc (BHN)",
"Kern Health Systems",
"AbsoluteCare",
"MDwise",
"Lovelace Health Plan",
"MVP Health Care",
"CCAH (Community Catalysts?)",
"Health Plan Alliance"
],
"user_reviews": [
"Think Lightbeam or ZeOmega Jiva (and Epic, Cerner and other EHR vendors have similar products). These are not cheap or easy solutions though."
],
"ratings": [
"Best in KLAS - #1 Payer Care Management Solutions (2022, 2023, 2024, 2025) — KLAS Research"
],
"support_channels": [
"phone",
"email",
"chat",
"ticketing"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite",
"certification"
],
"release_year": "",
"integration_partners": [
"Microsoft Cloud for Healthcare (Microsoft Azure)",
"MedeAnalytics",
"MCG Health",
"Healthwise",
"McKesson InterQual",
"HealthFeed (SMS/texting integration)"
],
"id": "P1845",
"slug": "zeomega",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/zeomega.json"
}
}