ZeOmega empowers health plans and other risk-bearing organizations with the industry’s leading technology for delivering integrated, whole-person health management. Founded in 2001, ZeOmega supports more than 30 million lives with utilization management, case management, disease management, population health, and analytics capabilities across its market-leading Jiva platform. Clients experience workflow excellence and proven results thanks to the system’s stand-out integration capabilities, clinical intelligence, and powerful rules engine.
Headquartered in Plano, TX and with offices in Bangalore, India, ZeOmega supports over 30 million lives on the Jiva platform, employs over 500 talented individuals, and hosts an extensive partner network.
Mission
Our mission is simple: enable our clients to deliver the highest quality, lowest cost care by providing the best software for integrated, whole-person health management.
Leadership
Sam Rangaswamy, MS
FOUNDER AND CEO
An entrepreneur with a successful track record in web hosting and e-commerce ventures, Sam founded ZeOmega in 2001 to address the need for a better way for health plans to conduct care management.
Sadananda “Sada” Babu Rai, MBA
CO-FOUNDER, PRESIDENT
As President, Sada oversees all aspects of day-to-day operations at ZeOmega and reports directly to the company’s Board of
Directors.
Sandra Hewett, RN, BSN, CCM
CHIEF NURSING OFFICER
As Chief Nursing Officer, Sandra
leads Clinical Content Development for ZeOmega, overseeing all aspects of the development, use, and interpretation of clinical content and intelligence.
Arie van den Akker
SENIOR VICE PRESIDENT OF BUSINESS DEVELOPMENT AND SALES
As Senior Vice President of Business Development and Sales for ZeOmega, Arie cultivates growth opportunities with direct clients and partner organizations.
Shaun Newton, FMT, OMS
INFORMATION SECURITY & COMPLIANCE OFFICER AND VICE PRESIDENT, ACCOUNT MANAGEMENT
As Information Security and Compliance Officer and Vice President for Account Management, Shaun works to ensure the company’s products and client support meet the highest industry standards.
Jeff Rush, BSCSE
VICE PRESIDENT,
TECHNOLOGY
Jeff joined ZeOmega in 2014 but has
been involved with ZeOmega as a technology consultant since ZeOmega’s start.
Trisha Swift, DNP, MSN, RN, CPPS
VICE PRESIDENT, INNOVATION & TRANSFORMATION
As Vice President of Innovation & Transformation, Dr. Swift architects ZeOmega’s strategy for innovation in population health management, social determinants of health, consumer engagement, and value-based care initiatives.
Viren Gandhi
SENIOR VICE PRESIDENT OF FINANCE
As Senior Vice President of Finance, Viren oversees accounting, financial planning, and budgeting for ZeOmega’s operations and growth.
Narasimha “Murthy” Koncha
CO-FOUNDER AND SENIOR VICE PRESIDENT, PRODUCT MANAGEMENT AND ENGINEERING
Murthy has invested more than 19 years helping to develop Jiva platform into the industry’s leading population health management platform.
Raju Sivalingam
CO-FOUNDER AND VICE PRESIDENT, HUMAN RESOURCES, LEARNING & DEVELOPMENT AND BUSINESS SOLUTIONS
Raju brings over 19 years of experience in product engineering, business solutions, and HR to his role as VP of Human Resources, Learning & Development and Business Solutions at ZeOmega.
Mohan Ananthaiah
CO-FOUNDER AND VICE PRESIDENT, PRODUCT ANALYTICS AND BUSINESS INTELLIGENCE
Mohan brings decades of experience in product development, implementation, and data analytics. Mohans versatile background and expertise have added to ZeOmega’s overall success and has contributed to the sophistication and effectiveness of our solutions.
Rakesh “Rocky” Naidu
CO-FOUNDER AND VICE PRESIDENT
Advisory Board
David Nash, MD, MBA
A board-certified internist, Dr. Nash is internationally recognized for his work in public accountability for outcomes, physician leadership development, and quality-of-care improvement. Repeatedly named to Modern Healthcare’s list of Most Powerful Persons in Healthcare, his national activities cover a wide scope. Dr. Nash is a principal faculty member for quality of care programming for the American Association for Physician Leadership (AAPL). He serves on the NQF Task Force on Improving Population Health and the John M. Eisenberg Award Committee for The Joint Commission. He also is a founding member of the AAMC-IQ Steering Committee, the group charged with infusing the tenets of quality and safety into medical education. Dr. Nash was also recently appointed to the Executive Research Advisory Council (ERAC) of the Pharmaceutical Quality Alliance (PQA) in Washington, DC.
Don McDaniel, MBA
As CEO for Canton & Company, Don McDaniel engages with pioneering healthcare firms across the industry, all striving to win in the new health economy. An industry leader and serial entrepreneur with more than 25 years’ experience, he has launched several healthcare businesses, is a recognized thought leader and health economist, and a sought-after speaker, writer, and facilitator. Consistent across his diverse background is helping disruptive healthcare companies of all sizes and stages succeed through strategic growth. He is the first Entrepreneur-in-Residence for the Jefferson School of Population Health and taught medical economics for 20 years at Johns Hopkins University.
Marla Pantano, FSA, MAAA
Marla is a seasoned healthcare executive with extensive experience in population health, data analytics, and actuarial science. Currently, she is the President of CarePartners of Connecticut, a not-for-profit Medicare insurance company formed by Hartford HealthCare and Tufts Health Plan. She oversees all aspects of the health plan’s growth and performance, including strategy, marketing and sales, quality, provider network and medical cost management.
Formerly Marla was at Agilon Health, and oversaw data solutions, analytics, actuarial and enterprise clinical operations. Additionally, she has served as Chief Actuary and VP of Population Analytics for one of the nation’s largest hospital systems and headed the Medical Analytics and Healthcare Reform organizations for a leading national health insurer.
Through her roles, Marla has partnered with providers to drive transformation in healthcare delivery by combining strong data analysis with clinical knowledge to improve the quality and efficiency of healthcare delivery as well as improve provider and member experience.
Chuck Clabots, Operating Partner, TELEO Capital
Chuck Clabots has provided results-driven executive leadership, strategic direction, and insight to a wide range of organizations over the past 35 years. He has held a number of executive roles including CIO for Blue Cross of Idaho, CTO for UnitedHealth Group, CIO for the Carlson Marketing Group, COO for Delta Dental of Minnesota, as well as leadership roles with the Pillsbury Company and Deloitte and a range of startup firms in healthcare and legal services.
Widely recognized for both leadership and innovation, he was named by CIO Magazine in 2005 as one of the Bold 100 CIOs for the innovative use technology to advance business results. While leading UnitedHealth Group, his organization was recognized by both the Smithsonian/Computer World awards program and by Fortune Magazine as one of the nation’s 10 top companies leveraging technology for positive business results.
News & Events
PRESS RELEASES
The latest news from the leading provider of population health management solutions
BLOG
Learn more about best practices, use cases, and industry trends from our team of population health experts
PANEL DISCUSSION
Celebrate International Women’s Day with a panel discussion led by ZeOmega’s very own female leaders. Click to listen
Careers
Push the boundaries holding healthcare back and experience what it’s like to create real change.
KLAS Report
ZeOmega’s Jiva Payer Care Management System is a KLAS Top Performer
Partners
ZeOmega partners with organizations representing best-in-class capabilities to enhance our population health management offerings. Some of the companies we have integrated with include:
Change Healthcare
InterQual® solutions, from Change Healthcare, allow organizations to reduce over- and underutilization for optimal care, align with other stakeholders, support physician and care manager performance management, and increase defensibility of decisions to lower risk. The comprehensive InterQual portfolio includes evidence-based clinical content for levels of care, imaging, procedures, molecular diagnostics, DME, behavioral health, retrospective monitoring and coordinated care as well as clinical evidence summaries.
InterQual Connect™ is a flexible cloud-based solution integrated into the Jiva platform that combines InterQual content and authorization connectivity. It promotes transparency between payers and providers by establishing and sharing a common language of evidence based criteria, and reduces the administrative burden of the prior authorization process by enabling the automation of all authorization requests, even those that require a medical review.
ChipRewards
Through the integration of behavioral science, communications, population segmentation and analytics, ChipRewards’ enterprise-level solution enables health plans, employers, and healthcare service providers to design and implement large-scale initiatives that increase participation and drive clinical and financial outcomes. The solution addresses a broad spectrum of desired health behaviors from health promotion and wellness to prevention and condition management. The ChipRewards solution provides a scalable foundation to launch programs that effectively lead individuals through the continuum of health management.
Comm100
Comm100 is dedicated to helping organizations have more meaningful conversations with their customers over live chat, social media, email, chatbot, and self-serve knowledge bases. From Fortune 500 companies to emerging start-ups, we help connect you to your audience in the right place at the right time.
Emmi Solutions
Emmi extends the reach of health care teams by enabling providers to communicate with patients throughout the continuum of care. Their easy-to-use, personalized and dynamic multimedia programs inspire people to take action, motivate healthy behaviors and build trusting ongoing relationships. Emmi’s EmmiEngage product has been integrated into the Jiva workflow, allowing care managers to scalably engage patients in their health. With Emmi as part of the team, clinicians can provide guidance, track progress and gather insights beyond the clinical setting to improve outcomes, enhance quality and increase satisfaction. Emmi’s content has been pre-certified by NCQA for PCMH criteria.
Healthwise
Healthwise provides care managers and physicians with a powerful resource that engages people to take an active role in their health. Healthwise member-friendly health education is fully integrated with Jiva. The integration allows health plans to access Healthwise® Knowledgebase, Healthwise® Care Support Pages, Healthwise® Ix® Patient Instructions, Healthwise® Ix® HealthMastery® Campaigns, and Healthwise® Ix® Conversations from within Jiva-streamlining and automating the delivery of this important content to its members, physicians, and the care community. Everything care managers and physicians need to support the people they serve.
Lumeris
Lumeris serves as a long-term operating partner for organizations that are committed to the transition from volume- to value-based care and delivering extraordinary clinical and financial outcomes. Lumeris enables clients to profitably achieve greater results in value-based care arrangements through proven playbooks based on collaboration, transparent data and innovative engagement methodologies. Lumeris offers comprehensive services for managing all types of populations, including launching new Medicare Advantage Health Plans, Commercial and Government Health Plan Optimization, and Multi-Payer, Multi-Population Health Services Organizations (PHSOs) for provider organizations. Currently, Lumeris is engaged with health systems, provider alliances and payers representing tens of millions of lives moving to value-based care. Lumeris has nearly 800 employees.
An industry recognized leader, Lumeris was awarded 2017 Best in KLAS for value-based care managed services for helping clients deliver improved clinical and financial outcomes. This was the second year we received this distinguished award. For the past six years, Essence Healthcare, Lumeris’ premier client with more than 63,000 members in Missouri and Illinois, has received 4.5 to 5 Stars from the Centers for Medicare and Medicaid Services. We enjoy working with all of our clients, delivering these same results, and aligning our proven multi-payer, multi-population model with their value-based care vision.
MCG
MCG Health, part of the Hearst Health network, helps health care organizations implement informed care strategies that proactively and efficiently move patients toward health. With powerful elements of the MCG Cite solution fully integrated into ZeOmega’s Jiva, MCG’s transparent assessment of the latest research and scholarly articles – along with data analysis – gives payers the vetted information they need to feel confident in their care management decisions. For this reason, eight of the ten largest U.S. health plans use MCG evidence-based guidelines and software.
mPulse Mobile
mPulse Mobile’s healthcare solutions are based on a simple concept. Tailored conversations lead to higher engagement and activation. We offer a blend of data science, artificial intelligence (AI) and omnichannel communications capabilities with a HIPAA-compliant enterprise-grade platform to deliver solutions that help consumers engage in their health and wellness. In fact, the more each consumer engages, the more insights you gain to tailor the conversation to their unique needs.
Wellframe
Wellframe strategically partners with health plans nationwide to reimagine the relationship between plans and members. Our digital health management solutions for care management and advocacy enable a level of care and support that empowers people and organizations to achieve their best. By combining innovative solutions, strategic partnership, and passionate conviction, Wellframe creates measurable impact on lives, at scale.
Wolters Kluwer Health
Wolters Kluwer Health helps healthcare organizations improve clinical effectiveness by providing solutions that help balance the quality / cost equation. Through our integration with the Jiva platform, our decision support solutions provide insights within the healthcare workflow to help control costs, maximize revenue, adjudicate claims, and enhance market research. Medi-Span® powers pharmacy systems with drug data for therapeutic classification and clinical screening. Medi-Span Price Rx® provides timely drug pricing analysis. Lexicomp® and Facts & Comparisons® help professionals make safe medication decisions with point-of-care drug references. UpToDate® offers evidence-based treatment recommendations. Together, these solutions provide consistent healthcare guidance to support business decisions and enhance patient care.
Certifications
Our platform and suite of care management and population health capabilities comply with the highest industry standards and best practices.
NCQA PHM in Health Plan Accreditation Prevalidation
Jiva became a prevalidated solution in 2018 when NCQA’s PHM Prevalidation program began and its PHM Prevalidated status continues, uninterrupted, through 2021.
With this Prevalidation, our clients benefit from reduced burden for Health Plan Accreditation (HPA) as well as Population Health Program (PHP), Managed Behavioral Health Organization (MBHO), or Case Management (CM) accreditation elements designated as eligible for automatic credit or plan support. Because Jiva has been rigorously tested and proven to ease administrative workload, organizations invested in our solutions will regain precious time to focus on patient-centric care and the improvement of overall health outcomes.
Jiva Achieves HEDIS 2020 Allowable Adjustment Certification.
ZeOmega has received certification for its population health management platform, Jiva, for NCQA HEDIS Allowable Adjustments Certified MeasuresSM 2020. NCQA’s HEDIS Allowable Adjustments (AA) Measure Certification is precise, automated testing that verifies compliance with the Rules for Allowable Adjustments of HEDIS.
ZeOmega selected thirty measures that reflect the broad range of coverage provided by Jiva for identification and management of population health care issues across the continuum, including age-appropriate health and wellness indicators for preventive health and screenings, age- and condition-related measures such as Care for Older Adults, Controlling High Blood Pressure and Comprehensive Diabetes Care, as well as multiple behavioral health measures.
Using Jiva’s Clinical Quality Dashboards and Gaps-in-Care permits our clients to proactively monitor performance and provide needed interventions to enhance effectiveness and quality of care for their members. The rigorous automated testing for successful certification further assures accuracy of reporting measures that are based on complex software logic.
Trusted Dynamic Registration & Authentication Accreditation Program (TDRAAP)
ZeOmega has achieved full Trusted Dynamic Registration & Authentication Accreditation Program (TDRAAP) – Comprehensive accreditation from the Electronic Healthcare Network Accreditation Commission (EHNAC). Developed in collaboration with UDAP.org, TDRAAP-Comprehensive supports interoperability requirements within the Office of the National Coordinator’s (ONC’s) Cures Act Final Rule and related CMS Interoperability and Patient Access Final Rule.
TDRAAP-Comprehensive combines the extensive privacy and security requirements and in-depth validation of traditional EHNAC accreditation programs, with UDAP technical framework certification. It is designed for a diverse cross-section of organizations and systems choosing to demonstrate full HIPAA/HITECH Privacy Security compliance and supporting all relevant UDAP workflows including those for privileged client app or provider access such as in bulk data, broadcast, or targeted cross-organizational queries.
This is ZeOmega’s report on our service organization’s system and the suitability of the design and operating effectiveness of the controls. It reports on controls at a service organization relevant to security, availability and confidentiality. SOC 2® reports are examination engagements performed by a service auditor (CPA) in accordance with AT Section 101, Attest Engagements, of SSAEs (AICPA, Professional Standards) using the predefined criteria in TSP section 100, Trust Services Principles, Criteria, and Illustrations for Security, Availability and Confidentiality. SOC 2 reports specifically address the following key system attributes:
Security – The system is protected against unauthorized access (both physical and logical)
Availability – The system is available for operation and use as committed or agreed
Confidentiality – Information designated as confidential is protected as committed or agreed
The Sequoia Project—an independent advocate for the implementation of a secure, interoperable, nationwide health information exchange (HIE)—has validated Jiva HIE Connect 6.0.2 for use with the eHealth Exchange.
The Sequoia Project developed the eHealth Exchange Product Testing Program to provide a high degree of assurance that participating systems conform to eHealth Exchange Performance Specifications and can interoperate with other systems without error or further customization.
Having successfully passed the eHealth Exchange Product Testing Program’s rigorous conformance test, Jiva HIE Connect can now exchange data with the largest HIE in the United States.
DirectTrust HISP Accreditation
The Accreditation Program recognizes excellence in health data processing and transactions, and ensures compliance with industry-established standards, HIPAA regulations and the Direct Project. Launched in March 2010 as a part of the Nationwide Health Information Network, the Direct Project was created to specify a simple, secure, scalable, standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet.
DirectTrust participating organizations are evaluated in the areas of privacy, security and confidentiality; technical performance; business practices and organizational resources as they relate to Directed exchange participants. Additionally, their process of managing and transferring protected health information is assessed and determined to meet or exceed all DirectTrust criteria and industry standards. Successful Accreditation Program completion demonstrates organizations’ adherence to strict standards and participation in the comprehensive, objective evaluation of their business.
ONC Health IT – Costs and Limitations Disclosures
Jiva 6.1-2015 Edition-170.315(h)(2) Certification
Jiva 6.1-2015 Edition Health IT Modular Certification-Direct project, Edge Protocol, and XDR/XDM
Jiva version 6.1 attained 2015 Edition Health IT Modular Certification from the ICSA Labs ONC Health IT Certification Program. Certification was granted based on rigorous and thorough testing by ICSA Labs, an Accredited Test Lab (ATL). Jiva version 6.1 was certified on January 6, 2020 by ICSA Labs, an Office of the National Coordinator-Authorized Certification Body (ONC-ACB) and is compliant in accordance with applicable criteria adopted by the Secretary of Health and Human Services (HHS).
“Ensuring the reliability and usability of Jiva for all our clients is fundamental to how we enhance the platform and design new solutions. Attaining the Health IT Modular Certification demonstrates ZeOmega’s ongoing commitment to meeting or exceeding the highest industry standards for performance.”
— Sam Rangaswamy, CEO, ZeOmega
ICSA Labs, an independent division of Verizon, has been providing credible, independent, third-party product assurance for end-users and enterprises since 1989. ICSA Labs provides third-party testing and certification of security and health IT products, as well as network-connected devices, to measure product compliance, reliability and performance for most of the world’s top technology vendors. Jiva 6.1’s certification number is 190017R00.
Jiva 6.1 meets the following certification criteria:
- 170.315 (d)(1): Authentication, Access Control, Authorization
- 170.315 (d)(2): Auditable Events and Tamper-Resistance
- 170.315 (d)(3): Audit Report(s)
- 170.315 (g)(4): Quality Management System
- 170.315 (g)(5): Accessibility-Centered Design
- 170.315 (h)(2): Direct Project, Edge Protocol, and XDR/XDM
Additional type of costs that a user may be required to pay to implement Jiva 6.1 are as of follows:
- Periodic License Fees
- Periodic Support and Maintenance
- One time implementation Professional Services Fees
There are no known limitations that a user may encounter in the course of implementing and using Jiva 6.1.
