Business Process Outsourcing Designed for Maximum Results

AI-enabled BPO/BPM model that blends expertise, technology, and accountability for real operational impact, delivered onshore, offshore, or hybrid.

Tailored Solutions deployed end to end or exactly where you need them
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BPO/BPM That Accelerates Performance End‑to‑End or in Targeted Areas Across Core Operations

Claims Processing

Configuration

Eligibility & Enrollment

Encounters

Fulfillment

Member & Provider Contact Center

Provider Credentialing & Data Management

Fraud, Waste & Abuse

Help Desk

Analytics & Reporting

Appeals & Grievances

Billing & Finance

Earning Trust Beyond Routine Operations

We take on your most complex, high-risk areas, applying deep plan knowledge and AI-driven insight to continuously improve performance, savings, and outcomes TOGETHER.

image of Drive Strategic Value, Not Just Task Execution

Drive Strategic Value, Not Just Task Execution

Cost Predictability and Control

Faster, More Accurate Execution

Better Member and Provider Experiences

Outcome-Based SLAs

Built-In Compliance and Risk Control

Why Catalyst BPO/BPM?

True Partner

We learn the nuances of your business and co-own success with you

Deep Payer Expertise

Deep operational insight fueled by 27+ years of payer-exclusive services

Vendor-Agnostic Solutions and Services

Deep expertise in all major core platforms and ancillary technologies

Shared Risk and Accountability

Financially backed SLAs align our incentives with yours

AI and Digital Innovation

Advanced AI & Digital capabilities integrated into operational workflows

“Your Shore” Delivery Model

Onshore, offshore, or hybrid delivery built around your needs

Break Free From Legacy Systems and Step Into the Future with CatalyZe™, Our AI-Enabled, Platform-Based BPaaS Solution

Legacy core platforms are expensive, rigid, and slow to evolve. Today’s healthcare landscape demands a more agile, cost-effective foundation that evolves with your business—not against it. Our flagship BPaaS solution, CatalyZe™ is a modern cloud-based framework designed for payers that want predictable outcomes with minimal operational friction. This “health payer in a box” solution unifies people, processes, and technology to streamline operations and drive stronger business performance.

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Start the Conversation

Connect with our experienced team to talk about your goals—and how we can help you meet them.