Top 6 Bundled Pay Management Software SaaS Companies in May 2026

Boston, Massachusetts, United States

Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. Zelis maintains a transparent, fee-free recruitment process. All genuine offers originate from our Talent Acquisition team using the “@ zelis.com” domain. We do not use WhatsApp or personal emails for recruitment. Forward any suspected fraud to verify-offers[@]zelis.com for prompt investigation. Thank you for staying vigilant.

Aurora, Illinois, United States

Simplify Healthcare enables Payers to achieve growth and cost efficiencies with its industry-leading platform, people, and processes. Established in 2008, Simplify Healthcare has taken on some of the toughest challenges facing payers by simplifying payer operations, connecting their front, middle, and back office with a payer-focused platform-centric approach. Our offerings — Benefits1™, Provider1™, Claims1™, and Xperience1™ offer precise solutions to complex challenges in delivering rich products, benefits, and provider data. SimplifyX™ is an AI-first enterprise company pioneering agentic AI to transform how organizations design, operate, and scale solutions by embedding intelligent agents directly into workflows. Benefits1™ — A unified platform for configuring, filing, publishing, and governing benefits across Medicare, Medicaid, ACA, Group, and Medigap. Provider1™ — A unified, yet modular, platform that automates provider roster file management, data management, onboarding, contracting, credentialing, and claims configuration. Claims1™ — The solution standardizes and automates how payers configure claims platforms like TriZetto® Facets® and QNXT™, homegrown systems, and other top 5 Core Admin platforms—reducing rework, ensuring accuracy, and improving data reliability by 99%. Xperience1™ — Enables payers to streamline and elevate benefits communication across the entire member journey, from plan shopping and enrollment to customer service and self-service. Simplify Docs™ — Delivers seamless document generation and language translation workflows for all mandated materials (ANOC, EOC, SB, SBC, etc.) and non-mandated content (Benefit Highlights, Rider Booklets, etc.) across all lines of business. SimplifyX™ — Industry-specific, production-ready enterprise applications with intelligent AI Agents orchestrating every step from requirements to release.

Milwaukee, Wisconsin, United States

Sift Healthcare provides advanced decision support solutions for managing the increasingly complex healthcare revenue cycle, integrating machine learning and predictive analytics to reduce insurance denials.

Boston, Massachusetts, United States

Our mission is to fix healthcare through payment reform and we are dedicated to helping our partners succeed at all stages of this long journey. As the payor and provider worlds converge, healthcare organizations have a myriad of opportunities to manage care and risks in new ways. Archway Health works with providers to illuminate these opportunities and design, execute, and finance the care and risk management programs that fit best with their capabilities. As a firm, Archway understands that heath care isn't a "one size fits all"​ industry, and what works for one provider won't necessarily work for another. When we engage with a healthcare organization, our first goal is to understand the provider's strengths and capabilities, the populations served, their experience with improving care while reducing costs, and their performance relative to others in the market. We also know that health care is a local business, and markets evolve in very different ways, presenting different types of opportunities. These include combinations of Medicare ACO's, Commercial Global Capitation, Bundled Payments, Dual Eligible Programs, Medicare Advantage Plans, Medical Homes, and Complex Care Carve - Outs. Archway partners with our clients'​ leadership to design the care and risk management programs that match their unique capabilities with targeted opportunities and partners in the market. Once the optimal care and risk management programs are designed, Archway shares risk with its clients by providing financing to cover reserve requirements and protect against unexpected downside losses. The Archway team has significant experience designing care management models geared towards improving quality and reducing costs as patients move along the care continuum. Please visit us at http://archwayhealth.com/, e-mail us at [email protected], or contact us at 617-209-7985 to learn more about what we have to offer.

Issaquah, Washington, United States

Founded in 2004, Dynafios continues to grow and expand throughout the healthcare industry. We focus on delivering innovative products and services to help health systems and care delivery transform in a “value” based environment. Our seasoned team of analysts and consultants work closely with each client to improve the clinical process of care, patient experience, operational efficiencies, and outcomes which are all critical in today’s environment. The Dynafios difference begins with our expertise and ability to assist hospitals and health systems with strategic planning, development, and implementation of new approaches that create high performing healthcare organizations.

United States

A new intelligent healthcare platform.The solution to prescription claims fraud. A simple, convenient way to digitally verify prescription claims.