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 & 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.
David J. Sand, MD, MBA
CHIEF MEDICAL OFFICER
As Chief Medical Officer, Dr. David J. Sand provides overall clinical vision to the organization, helping to ensure the safety, effectiveness, and relevancy of ZeOmega’s thought leadership. He also provides clinical direction on product development, positioning, and relevance for the company’s evolving markets.
Andy Arends
CHIEF GROWTH OFFICER
As Chief Growth Officer, Andy leads all Sales and Marketing initiatives within ZeOmega. He brings with him over two decade’s experience in the healthcare sphere and is responsible for growing engagement, revenue, and ROI throughout the company.
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.
Shaun Newton, FMT, OMS, EHNAC Commissioner
CHIEF SECURITY & COMPLIANCE OFFICER
As ZeOmega’s Chief Security and Compliance Officer, Shaun works to ensure the company’s products 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.
Tabatha Fuchs, JD
VICE PRESIDENT OF MARKETING
As Vice President of Marketing, Tabatha Fuchs provides overarching marketing vision and strategy to the organization. She brings with her over 18 years of marketing, media, public relations, and communications expertise.
Suhas Ramachandra
VICE PRESIDENT, PRODUCT STRATEGY & INNOVATIONS
As Vice President of Product Strategy & Innovation, Suhas is a primary driver in the success of ZeOmega, working cross functionally throughout the organization.
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.
Pravin Pant, MSHI
VICE PRESIDENT, PRODUCT MANAGEMENT, DATA SCIENCE & MACHINE LEARNING
As Vice President of Product Management, Data Science & Machine Learning, Pravin leads ZeOmega’s artificial intelligence team, working on new and existing AI solutions and social determinants of health (SDOH) solutions with a goal of creating best-in-class software products.
Matt Adamson
VICE PRESIDENT, PRODUCT PLANNING
As Vice President of Product Planning, Matt Adamson brings more than 25 years of health information technology experience to his role at ZeOmega.
Tony Sheng
VICE PRESIDENT, INTEROPERABILITY SOLUTIONS
As Vice President of Interoperability Solutions, Tony is responsible for defining and driving the product strategy and roadmap for the ZeOmega HealthUnity™ interoperability platform.
Katherine Krawczyk
VICE PRESIDENT, CLINICAL SUPPORT SERVICES
As Vice President of Clinical Support Services for ZeOmega, Katherine provides leadership and strategic direction for the Clinical Consultants and Training Team.
Narasimha “Murthy” Koncha
CO-FOUNDER & SENIOR VICE PRESIDENT, PRODUCT MANAGEMENT & 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 & VICE PRESIDENT, HUMAN RESOURCES, LEARNING & DEVELOPMENT & 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 & VICE PRESIDENT, PRODUCT ANALYTICS & 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, DIRECTOR – ELDRICARE
Rakesh has been with ZeOmega since the organization’s inception in 2001. Since then, he has proven his versatility and value by driving the success of several internal departments including process management, quality control and client services.
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
ONC Looks for Comments on How to Improve Prior Authorization
The agency is requesting input from the industry for how to use standards and how to implement these in workflows to facilitate the process.
CONNECTIONS 22
ZeOmega Client Conference
May 23-26, 2022 – Frisco, TX
Register Now!
May 23-26, 2022 – Frisco, TX
Register Now!
Careers
Push the boundaries holding healthcare back and experience what it’s like to create real change.
KLAS Report
ZeOmega is #1 Best in KLAS for Payer Care Management Solutions 2022
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.
findhelp
findhelp, formerly Aunt Bertha” “creator of the the nation’s leading social care network that connects people in need to local social services to support overall health”
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.
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.
NCQA HEDIS® Certification
Jiva Achieves HEDIS MY2021 Allowable Adjustment Certification.
ZeOmega has received certification for its population health management platform, Jiva, for NCQA HEDIS Allowable Adjustments Certified MeasuresSM MY2021. 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 forty 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.
Drummond Certification – Payer and Patient Access Fast Healthcare Interoperability Resource (FHIR®) Application Programming Interface
Drummond Group LLC offers comprehensive compliance, security, risk management, surveillance, and education services to healthcare, financial and other regulated industries. As an Authorized Certification Body (ACB) and an Accredited Test Lab (ATL) within the Office of the National Coordinator Health IT Certification Program, Drummond specializes in working with health IT developers to test and/or certify their software for use by healthcare providers in regulatory programs.
The Jiva platform, Jiva private cloud, and information systems infrastructure earned Certified status for information security by HITRUST on May 4, 2021. HITRUST CSF Certified status demonstrates that ZeOmega’s Jiva platform, Jiva private cloud, and information systems infrastructure have met key regulations and industry-defined requirements and is appropriately managing risk. This achievement places ZeOmega in an elite group of organizations worldwide that have earned this certification. By including federal and state regulations, standards, and frameworks, and incorporating a risk-based approach, the HITRUST CSF helps organizations address these challenges through a comprehensive and flexible framework of prescriptive and scalable security controls.
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.
