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Top 3 Utilization Management Software Companies With $5M–$10M Revenue (September 2026)

As of September 2026, Latka tracks 3 utilization management software companies with $5M–$10M in annual revenue. They have combined revenues of $24.9M and employ 226 people. They have raised $418.4M and serve 60 customers combined.

Every company below sells utilization management software to other businesses and is ranked by its most recent annual revenue. Revenue, funding, headcount and customer figures come from CEO interviews on the Latka podcast, public company filings, and Latka estimates where a company has not disclosed a number.

What Utilization Management Software Companies do

Utilization Management Software (UMS) is designed to streamline the review and approval processes for healthcare services, ensuring that treatment choices are necessary, appropriate, and efficient. Primarily used by healthcare providers, payers, and case management teams, UMS helps prioritize care based on clinical urgency, manage approvals and communications, and analyze utilization patterns to prevent overuse or underuse of healthcare services. Typical features of UMS include automated authorization workflows, real-time case tracking, data analytics for utilization patterns, and integrated communication tools for liaising with members and providers. The software plays a critical role in enhancing patient care while improving operational efficiency, making it an essential tool for healthcare organizations looking to optimize resource utilization and manage costs effectively. The common user personas include healthcare administrators, case managers, and clinical staff who require real-time data and insights to make informed decisions. UMS is fundamental for organizations focused on ensuring quality care delivery while simultaneously managing costs and compliance with healthcare regulations.

Companies
3
Revenue
$24.9M
Funding
$418.4M
Employees
226

Filters

Sorting: Highest -> Lowest

Filters

Top Utilization Management Software Companies With $5M–$10M Revenue

Showing 3 of 3 companies ranked by annual revenue.

1Jembi Health Systems logo
Jembi Health Systems

Cape Town, Western Cape, South Africa

Jembi Health Systems NPC, is a nonprofit organisation that works in developing countries in Africa and focuses on the development of eHealth and health information systems (HIS). Jembi leads the way on building local capacity within Africa through innovation and commitment towards strengthening of eHealth. Its head office is in Cape Town, South Africa. The NGO was started by Dr Chris Seebregts in 2009 and has since grown rapidly to provide infrastructural support for projects and offices in several African countries, including South Africa, Mozambique, Rwanda, Zambia and, increasingly, other African countries. Jembi’s Head Office is based in Tokai, Cape Town, South Africa. Project/satellite offices are based in Maputo, Kigali and Lusaka.

Revenue
$9.9M
Year founded
2009
Team size
90
2Health Care Systems, Inc. logo
Health Care Systems, Inc.

Montgomery, Alabama, United States

HCS has been building healthcare software since 1984. For more than a decade, our primary focus has been behavioral health. We serve psychiatric hospitals, residential treatment centers, substance use disorder programs, and outpatient clinics with behavioral health software that supports every aspect of care: clinical, operational, and financial. Our team includes clinicians and healthcare professionals who understand the demands of behavioral health environments. Their insight helps us create behavioral health software that is intuitive, flexible, and grounded in real-world needs. From improving patient engagement to ensuring compliance and streamlining workflows, our solutions scale to fit single sites or large multi-facility systems. Whether you need a specific module or a complete behavioral health EMR, HCS delivers technology that meets you where you are, supported by thoughtful design and responsible AI integration.

Revenue
$8.8M
Year founded
1984
Team size
80
3Welltok logo
Welltok

Denver, CO, United States

Welltok drives consumer actions that matter. Only Welltok delivers solutions built on a single, secure platform that includes a massive consumer database, machine learning and multi-channel engagement that drives and accounts for targeted actions. As the award-winning consumer activation company, healthcare organizations and others trust Welltok to activate their populations in meaningful ways.

Revenue
$6.2M
Customers
60
Year founded
2009
Funding
$418.4M
Team size
56

Frequently asked questions about Utilization Management Software Companies With $5M–$10M Revenue

How many utilization management software companies with $5M–$10M in annual revenue are there?

Latka tracks 3 utilization management software companies with $5M–$10M in annual revenue. Together they generate $24.9M in annual revenue and employ 226 people.

Which utilization management software company with $5M–$10M in annual revenue is the largest?

Jembi Health Systems is the largest, with $9.9M in annual revenue, founded in 2009.

How much revenue does a typical utilization management software company with $5M–$10M in annual revenue make?

The average utilization management software company in this list makes $8.3M a year, across 3 companies with reported revenue. They serve 60 customers combined.

Who are the leading Utilization Management software vendors with $5M–$10M in annual revenue?

Ranked by annual revenue, the leaders are Jembi Health Systems, Health Care Systems, Inc. and Welltok.

How much funding have utilization management software companies with $5M–$10M in annual revenue raised?

The 3 utilization management software companies with $5M–$10M in annual revenue tracked here have raised $418.4M in disclosed funding between them.

Related Vertical Industry Software categories

Inclusion Criteria

- Must facilitate the review process for healthcare service authorizations. - Should provide real-time analytics on patient utilization data. - Must support automated workflows for handling authorization requests. - Should enhance communication between providers and patients regarding care needs. - Must assist with identifying overutilization or underutilization of services. - Not just focused on billing; must also evaluate clinical necessity and appropriateness.