Top 45 Utilization Management Software SaaS Companies in May 2026

Mobile, Alabama, United States

A leading provider of revenue cycle management solutions, The SSI Group (SSI) partners with healthcare providers and payers. Our provider product suite includes Patient Access Management, Claims Management, and Performance Management solutions with integrated analytics. SSI connects the industry to 2,600+ payers in 50 states, and powers the business of healthcare with payer solutions, health information sharing, and clinical reporting. A privately held company with more than 35 years of steady growth, we know our clients rely on us to streamline workflow, increase revenue, improve efficiencies, reduce costs, and more. We remain focused on providing the highest level of client service and our associates share in that mission, each and every day. Our clients know it – our average client tenure is over 20 years. Learn how we can help you at www.thessigroup.com

Cincinnati, Ohio, United States

AssureCare is a privately held healthcare technology company that provides innovative care management solutions to commercial and health and human service providers. AssureCare’s flagship software platform, MedCompass, is used by healthcare providers throughout the United States to deliver end-to-end care management for millions of patients daily. MedCompass transforms healthcare management by automating processes and streamlining workflows, thus allowing care professionals to make better decisions that dramatically improve the quality of care and lower costs. AssureCare is considered an industry leader in developing, modular, seamless solutions designed to improve patient outcomes and reduce avoidable costs associated with population health management. AssureCare is a Vora Group company with headquarters in Cincinnati, OH. For more information, please visit https://www.assurecare.com/

Radnor, Pennsylvania, United States

Vālenz Health® is the platform to simplify healthcare – the destination for employers, payers, providers, and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from member experience to payment integrity, plan performance, and provider quality. Valenz elevates expectations to a new level of efficiency, effectiveness, and transparency where smarter, better, faster healthcare is possible. For more information, visit valenzhealth.com.

Pittsburgh, Pennsylvania, United States

TeleTracking is the world’s leading healthcare operations platform. For over 30 years, we have exclusively focused on developing integrated operational solutions and clinical operations expertise that deliver measurable outcomes for healthcare organizations and governments. Our commitment to expanding the capacity to care has resulted in improved quality of care, better workflow and staff management, and significant financial performance savings for over 1,000 hospitals globally. Headquartered in Pittsburgh, Pennsylvania, TeleTracking works across North America and Europe with offices in London and Berlin.

Louisville, Kentucky, United States

Bamboo Health empowers healthcare organizations to improve behavioral and physical health outcomes through the most powerful care collaboration network with Real-Time Care Intelligence™. By providing real-time insights during pivotal care moments, clients are enabled to perform life-improving actions and deliver seamless, high-quality and cost-effective whole-person healthcare. From coast to coast, Bamboo Health partners with all major retail pharmacy chains, 52 states and territories, 100% of the top 10 best hospitals and more than half of the country’s largest health plans to improve more than 1 billion patient encounters annually.

Franklin, Tennessee, United States

Purpose-built platform, data science and solutions innovator serving health plans, hospitals and payer organizations nationwide

Minneapolis, Minnesota, United States

Provation is revolutionizing the way clinicians and care teams around the world work together to deliver quality healthcare for all. From pre-procedure patient intake to post-procedure follow-up, and everything in between, Provation’s data-driven solutions are proven to improve clinical workflows, staff satisfaction, and the patient experience. As the leading provider of integrated procedure documentation and workflow automation solutions, Provation is trusted globally in more than 5,000 hospitals, ambulatory surgery centers (ASCs), anesthesia groups, and medical offices, including nearly all of the Best Hospitals in the United States. In 2021, Provation was acquired by Fortive Corporation, a Fortune 1000 company that builds essential technology and accelerates transformation in high-impact fields like workplace safety, engineering, and healthcare. For information on career opportunities, please visit https://careers.fortive.com/provation/

Toronto, Ontario, Canada

Software for Health and Human Services providers designed to simplify the user experience & optimize outcomes. VitalHub provides technology to Health and Human Services providers including; Hospitals, Regional Health Authorities, Mental Health, Long Term Care, Home Health, Community and Social Services. VitalHub solutions span the categories of Electronic Health Record (EHR), Case Management, Care Coordination, Patient Flow & Operational Visibility, and DOCit Mobile Apps. VitalHub is based in Toronto, ON, and publicly traded on the TSX Venture Exchange: VHI. For further information please visit www.vitalhub.com

King of Prussia, Pennsylvania, United States

Medecision is a leader in cloud-based, data-powered healthcare solutions, enabling risk-bearing healthcare organizations – health plans, healthcare systems, third party administrators and more – to achieve improved health outcomes, optimized medical costs, reduced administrative costs, and personalized engagement. Our growing Aerial™ portfolio supports over 10% of the U.S. population, marking a significant milestone in advancing healthcare efficiency and effectiveness.

United States

Envolve unifies experienced, industry-known companies for care management and coordination, specialty pharmacy, vision, dental, behavioral health, life and health management, , wellness, and digital health, and provides data and analytics solutions to transform healthcare. Through Envolve’s family of healthcare solutions, we deliver an integrated, innovative, and sustainable care option that makes healthcare simpler, more effective, and more accessible to meet the needs of you and those you serve. Learn more: — [email protected] — www.envolvehealth.com Third-party posts and links are not endorsements. Any posting that is deemed to be discriminatory, obscene, defamatory, harassing or otherwise unprotected or that includes foul language or personal health information (PHI) will be deleted. All privacy rules for PHI apply. Don’t post any PHI on our channel. Nothing on this site should be viewed as medical advice, in the case of a medical emergency, contact your healthcare provider or call 911.The information posted on this site is “as is.” Envolve makes no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the information posted this site for any purpose. Any reliance you place on such information is at your own risk.