Top 20 healthcare outsourcing companies in the United States
List of healthcare outsourcing companies in the United States
- Cognizant
- R1 RCM
- GeBBS Healthcare Solutions
- Optum
- McKesson
- FinThrive
- Conifer Health Solutions
- Oracle Health
- Accenture
- Alorica
- MCI
- Omega Healthcare
- WNS Global Services
- Concentrix
- Athenahealth
- Genpact
- Sagility
- Ensemble Health Partners
- XBP Global
- Vee Technologies
As the healthcare industry continues to be disrupted by technological advancements and rising costs, outsourcing has risen as a strategic approach.
Outsourcing offers streamlined processes, improved efficiency, and cost-effective solutions. As the demand for these services grows, many healthcare outsourcing companies have emerged as industry leaders.
This guide delves into the dynamic landscaping of healthcare outsourcing.
We’ll shed some light on the state of American healthcare, the qualities of a good provider, and the top healthcare outsourcing companies in the United States.
The state of healthcare in the United States
The healthcare industry in the United States is at a critical juncture. Rising costs, an aging population, and ever-evolving regulations are all factors that must be considered.
Despite being one of the world’s largest and most advanced healthcare systems, significant inefficiencies and gaps need to be addressed.
The first issue is cost. The Centers for Medicare and Medicaid Services (CMS) reports that US health spending grew 7.2% in 2024, reaching $5.3 trillion. That is 18.0% of gross domestic product, or $15,474 per person.
However, overall health indicators do not align with this expenditure level. This has put immense pressure on providers to find ways to deliver quality care while controlling costs.
Additionally, the aging population has placed a strain on healthcare organizations. This comes coupled with a growing demand for care that providers must meet.
Moreover, healthcare regulations and compliance requirements continue to evolve, posing further complexities. Keeping up with these regulations can be a daunting task.
This intricate web of healthcare services, insurance systems, and government regulations has created an environment where outsourcing has emerged as a lifeline.
Top global outsourcing list
Outsource Accelerator is the world’s leading outsourcing marketplace and advisory. We list more than 5,000 BPO firms from around the world in our directory, with detailed profiles, price guides, and reviews.
Whether you’re a solopreneur, SME owner, or a corporate executive, we can help you find the most suitable outsourcing provider for your business.
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Choosing the best healthcare outsourcing company
Selecting the right healthcare outsourcing company can be a critical decision for healthcare providers. With so many choices, it’s important to take into account a few important aspects:
Expertise and services
Look for a company that specializes in the areas relevant to your organization. Assess the range of services offered and determine if they align with your specific needs.
Within the realm of healthcare outsourcing, you can seek a portfolio that demonstrates expertise in areas such as:
- Medical billing and coding
- Revenue cycle management
- Administrative support
Prospective healthcare outsourcing providers should also possess a proven track record of success in the industry.
Compliance and security
The healthcare industry is subject to strict regulations and data privacy requirements.
Ensure that the healthcare outsourcing company has robust compliance protocols in place. This most notably includes HIPAA compliance for protecting patient information.
Evaluate their security measures, data encryption practices, and disaster recovery plans as well. This approach will mitigate any potential risks to security and confidentiality.
Technology and infrastructure
Another crucial consideration is the technological infrastructure and innovation capabilities of the healthcare outsourcing company. A reliable infrastructure supports seamless integration with your existing systems and contributes to process optimization.
Evaluate their technology capabilities, including the following:
- Electronic health records (EHR) compatibility
- Data analytics tools
- Telehealth platforms
Furthermore, the flexibility and scalability of services offered should align with your evolving needs. The ability to adapt to changing settings and accommodate growth demonstrates a commitment to long-term partnership and success.
Cost-effectiveness
Though it shouldn’t be the sole determining factor, cost is still important when choosing a top healthcare outsourcing company.
Assess the firm’s pricing structure, including any additional fees or charges. Consider the value they offer in terms of improved efficiency, cost savings, and enhanced patient experience.
A transparent pricing model and a solid understanding of the return on investment should guide your decision-making process.
Client references and reputation
Client references and testimonials play a vital role in gauging the healthcare outsourcing company’s reputation and client satisfaction.
A company with a strong history of positive client relationships is more likely to deliver consistent and reliable services.
Seek references from other healthcare organizations that have partnered with the outsourcing company. Research their reputation, including their client retention rate, awards, and recognition.
Top 20 healthcare outsourcing companies in the United States
Here is our compilation of the top healthcare outsourcing companies in the United States:
1. Cognizant
Headquarters: Teaneck, New Jersey
Cognizant is a global technology company that offers a range of services, including healthcare outsourcing. With a focus on intuition engineering and human insight, Cognizant helps businesses harness technology to transform their operations.
In the healthcare sector, Cognizant provides outsourcing solutions that enable providers to streamline their processes, improve efficiency, and enhance patient care.
You may read a further review of Cognizant here.
2. R1 RCM
Headquarters: Salt Lake City, Utah
R1 RCM is a leading revenue cycle management company that offers comprehensive healthcare outsourcing solutions. It optimizes the entire revenue cycle for hospitals, health systems, and physician groups.
By combining its tenured domain expertise, proven processes, and integrated technology, R1 RCM ensures a true revenue cycle transformation.
You may read a further review of R1 RCM here.
3. GeBBS Healthcare Solutions
Headquarters: Culver City, California
GeBBS Healthcare Solutions is a leading healthcare outsourcing company. It specializes in revenue cycle management, medical coding, and risk adjustment solutions.
With a strong focus on compliance and quality, GeBBS ensures it meets regulatory standards. Its team of specialized professionals and expert auditors promises and delivers comprehensive services that help you achieve enhanced operational efficiency.
You may read a further review of GeBBS Healthcare Solutions here.
4. Optum
Headquarters: Eden Prairie, Minnesota
Optum now also carries the former Change Healthcare business, which UnitedHealth Group folded into Optum. It is a leading health services and innovation company in the United States.
As a key subsidiary of UnitedHealth Group, one of the largest and most diversified healthcare companies globally, Optum plays a crucial role in addressing complex challenges.
It offers healthcare outsourcing services under its Optum360 umbrella. These encompass a suite of solutions that span revenue cycle management, medical coding and billing, and administrative support.
You may read a further review of Optum here.
5. McKesson
Headquarters: Irving, Texas
McKesson is best known as a pharmaceutical distributor. Its outsourcing work sits in Prescription Technology Solutions.
That unit runs electronic prior authorization, prescription price transparency, benefit checks, and patient enrollment through CoverMyMeds. It also sells practice management and consulting services to pharmacies and specialty practices.
Buyers who want full revenue cycle outsourcing should treat McKesson as a medication access specialist, not a general healthcare BPO.
6. FinThrive
Headquarters: Plano, Texas
FinThrive is a healthcare company that offers end-to-end revenue cycle management solutions. It develops technology solutions that adapt to the changing healthcare landscape and streamline processes for healthcare providers.
FinThrive takes a unique approach by addressing revenue management holistically. Using its single platform, it has earned the trust of healthcare organizations across the country.
You may read a further review of FinThrive here.
7. Conifer Health Solutions
Headquarters: Frisco, Texas
Conifer Health Solutions is a leading provider of healthcare outsourcing solutions. The company offers a range of comprehensive revenue cycle management services and value-based care solutions.
Conifer recognizes the challenges faced by healthcare organizations in terms of revenue optimization and improving overall business outcomes. To that end, it leverages technology and innovation to deliver tailored healthcare outsourcing services.
8. Oracle Health
Headquarters: Austin, Texas, with Oracle Health operations in North Kansas City, Missouri
Oracle Health is the healthcare division built from Cerner, which Oracle acquired in 2022. The Cerner brand has been retired and cerner.com now redirects to Oracle Health.
Its model combines enterprise licensing with implementation and ongoing managed services. Hospitals use it for patient accounting, revenue cycle management, and electronic health record optimization.
This suits health systems that want the record system and the revenue cycle handled by one vendor.
9. Accenture
US headquarters: New York City, New York
Accenture stands as a powerhouse in driving innovation across industries, including healthcare. With a robust presence in over 120 countries, Accenture brings a wealth of experience and expertise to the challenges faced by healthcare providers.
The company’s healthcare outsourcing services are designed to optimize operations, enhance patient experiences, and improve overall outcomes.
Accenture’s commitment to innovation and digital transformation ensures that healthcare clients benefit from scalable and efficient solutions.
You may read a further review of Accenture here.
10. Alorica
Headquarters: Irvine, California
Alorica is a customer experience company with a dedicated healthcare practice. It serves payers, providers, pharmacy benefit managers, and life sciences firms.
Its services include:
- Front-end, mid-cycle, and back-end revenue cycle management
- Prior authorization and benefit verification
- Patient scheduling and patient access
- Member services, eligibility, and enrollment support
- Claims and billing assistance for payers
Alorica runs HIPAA-compliant contact centres and reports a 99.9% average prior authorization quality compliance score. Buyers who need patient-facing volume handled at scale should shortlist it.
You may read a further review of Alorica here.
11. MCI
Headquarters: Iowa City, Iowa
MCI is a US-based contact centre and business process outsourcing firm founded in 2003. Healthcare is one of the industry verticals it serves.
Its healthcare work leans toward patient and member contact, scheduling, and back-office administration. It runs delivery sites across Iowa, Kansas, Georgia, Texas, and several other states.
Providers who need certified medical coding or full revenue cycle ownership should compare MCI against the specialists on this list.
You may read a further review of MCI here.
12. Omega Healthcare
Headquarters: Boca Raton, Florida
Omega Healthcare Management Services is a technology-led healthcare outsourcing firm. It serves US providers, payers, and life sciences companies.
Its work spans end-to-end revenue cycle management, medical coding, accounts receivable recovery, and patient access. It also runs care coordination, nurse triage, and remote patient monitoring.
Payer clients use it for risk adjustment, provider engagement, and administrative support. Drug access teams use it for benefit verification, prior authorization, and co-pay assistance.
It takes the slot held by Change Healthcare, whose brand was retired after UnitedHealth Group folded that business into Optum. You may read a further review of Omega Healthcare here.
13. WNS Global Services
Headquarters: Houston, Texas
WNS Global Services is a leading business process management company catering to the healthcare industry. With its deep understanding of the sector, WNS provides end-to-end solutions to global healthcare payers, providers, and life sciences organizations.
Its healthcare lines cover end-to-end revenue cycle management, claims, benefits administration, care management, and medical bill review.
WNS has announced the closing of its acquisition by Capgemini, so buyers are now contracting with a Capgemini company.
You may read a further review of WNS here.
14. Concentrix
Headquarters: Newark, California
Concentrix is a globally recognized leader in providing digital customer experience solutions, including specialized services for the healthcare industry.
Its healthcare practice splits into payer solutions and provider solutions. Payer work covers member growth and retention. Provider work covers patient experience, care coordination, and clinical services.
You may read a further review of Concentrix here.
15. Athenahealth
Headquarters: Boston, Massachusetts
Athenahealth is a prominent healthcare technology company that offers cloud-based solutions and services to healthcare organizations. Its healthcare outsourcing aims to improve clinical workflows, revenue cycle management, and patient engagement.
Athenahealth enables organizations to seamlessly coordinate care, deliver virtual service, and extend their capabilities through differentiated apps and clinical data exchange.
You may read a further review of Athenahealth here.
16. Genpact
Headquarters: New York City, New York
Genpact has positioned itself as a leader in driving digital transformation and business process management, including in healthcare. Genpact provides tailored solutions for critical healthcare functions.
Genpact’s healthcare outsourcing goes beyond traditional approaches. It incorporates cutting-edge technologies to drive cost-effective solutions.
The company’s commitment to continuous improvement underscores its role as a strategic partner to healthcare organizations.
You may read a further review of Genpact here.
17. Sagility
Headquarters: Westminster, Colorado
Sagility is a tech-enabled healthcare operations firm. The business rebranded from HGS Healthcare in 2022 after HGS divested its healthcare division. It also traded as Sagility Health, so older contracts may carry that name.
For payers it handles claims and membership management, payment integrity, denial reduction, provider network operations, and credentialing.
For providers it runs revenue cycle management alongside clinical services such as utilization management and care management.
You may read a further review of Sagility here.
18. Ensemble Health Partners
Headquarters: Cincinnati, Ohio
Ensemble Health Partners is a tech-driven revenue cycle management company that offers comprehensive healthcare outsourcing. This outsourcing company uses its expertise and unique approach to:
- Identify gaps
- Develop targeted solutions
- Implement proven best practices
Ensemble Health Partners has gained recognition for its highly skilled team, unmatched commitment to client service, and industry-leading performance.
19. XBP Global
Headquarters: Irving, Texas
XBP Global is the business previously listed here as Exela Technologies. XBP Europe acquired Exela Technologies BPA in July 2025 and renamed the combined company XBP Global.
Its healthcare suite connects claims, payments, and the wider revenue cycle. It runs provider support services and payer services covering claims, benefits, and member management.
The old exelatech.com address now redirects to the XBP Global site, so check which legal entity your contract names. You may read a further review of the legacy Exela business here.
20. Vee Technologies
Headquarters: New York City, New York
Vee Technologies is a global technology-enabled professional services company specializing in healthcare outsourcing.
With a wide range of services and solutions, Vee Technologies helps organizations accelerate cash flow and achieve faster revenue realization.
It stands out as a trusted and expert partner in the healthcare industry.
You may read a further review of Vee Technologies here.
What US healthcare providers commonly outsource
Healthcare outsourcing is not one service. Shortlists get shorter once you name the function you actually want handled.
| Function | What it covers | Who usually buys it |
|---|---|---|
| Revenue cycle management | Registration, charge capture, claim submission, denials, accounts receivable follow-up | Hospitals, health systems, large physician groups |
| Medical coding | Inpatient and outpatient coding, risk adjustment, coding audit and quality review | Providers and risk-bearing health plans |
| Patient access | Scheduling, eligibility checks, benefit verification, prior authorization, financial clearance | Providers with high referral volume |
| Payer operations | Claims adjudication support, enrollment, member services, provider credentialing | Health plans and third-party administrators |
| Clinical support | Utilization management, care management, nurse triage, clinical documentation improvement | Plans and integrated delivery networks |
Frequently asked questions
How is healthcare outsourcing priced in the United States?
Three models dominate. Full-time equivalent pricing charges a monthly rate per dedicated staff member. Transactional pricing charges per claim, chart, or call. Contingency pricing takes an agreed percentage of net collections.
Rates move with scope, location, and volume, so ask for a written rate card. Also ask what sits outside the base rate, such as technology licences, transition costs, and overtime.
What is a business associate agreement and do I need one?
A business associate agreement (BAA) is the HIPAA contract that lets a vendor handle protected health information on your behalf. Any provider touching patient data needs one signed before work starts.
The BAA should name breach notification timelines, subcontractor rules, and what happens to your data when the contract ends. Treat hesitation on this point as a warning sign.
Should protected health information stay onshore?
HIPAA does not ban offshore processing of protected health information. Some state contracts and Medicaid programmes do restrict it, so check your payer agreements first.
Many providers run a hybrid model. Patient-facing and restricted work stays onshore, while coding, accounts receivable follow-up, and back-office processing run offshore.
Which coding certifications should a vendor team hold?
Look for credentials from the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA). Common examples include CPC, COC, CCS, and CCS-P.
Ask what share of the team assigned to your account is certified, not what share of the company is. Ask for the coding accuracy rate and how it is audited.
How do I shortlist a healthcare outsourcing company?
Start with the function you want handled. Then filter for vendors that run it as a core line rather than a side offering. Check that they support your electronic health record and clearinghouse.
Ask for two reference clients of similar size and specialty. Then agree the measures that define success, such as days in accounts receivable, clean claim rate, and denial rate.
Partner with the right healthcare outsourcing company
The US market has consolidated fast, so names change and owners change with them. Confirm the legal entity, the delivery location, and the certifications before you sign.
Compare at least three providers against the same scope and the same measures. That is the quickest route to a fair comparison and a contract you can hold a vendor to.
Independent
