Overview
Economic pressures, evolving regulations, heightened competition, technology innovation and increasing consumer expectations are reshaping the healthcare payer business. To secure long-term viability, they should transform fast and deliver value at scale.
At AHIP 2026, we are showcasing how AI can supercharge payer performance—driving business-aligned outcomes and enabling differentiated, experience-led growth. We demonstrate how intelligent automation, agentic workflows and data-driven decisioning can help simplify fragmented ecosystems and enable faster, more precise operations.
Join us at AHIP 2026, where we demonstrate how payers can leverage the best of AI and agentic to truly supercharge their performance in an increasingly complex and dynamic healthcare landscape.
Our Solutions
- Scale AI with AI Force for Payer
- Data Estate Modernization
- Digital Experience
- AI-led Integrated Operating Model
Scale AI with AI Force for Payer

Scale AI for IT operations
AI Force for payer modernizes IT operations with AI driven detection, correlation and remediation across platforms, enabling impact led operations across claims, enrollment and clinical systems with early disruption detection and automated remediation.
Scale AI for business operations
AI Force for payer reimagines business operations using payer native AI agents orchestrated across value streams, automating execution, improving decisions and coordinating claims, enrollment, benefits and care to reduce rework and enable autonomous operations.

Scale AI for engineering operations
AI Force for payer accelerates engineering operations by embedding AI across development, enabling agent driven workflows from requirements to code, improving speed, quality and testing, learning from defects to reduce rework and drive reliable delivery.

Scale AI for data operations
AI Force for payer enhances data operations by embedding AI and automation across the data lifecycle, improving readiness, reliability and availability by orchestrating ingestion, quality, lineage and governance to enable trusted AI ready data.
Data Estate Modernization

Healthcare data aggregation, transformation and analytics
Healthcare data aggregation, transformation and analytics automates healthcare data management with cloud-enabled standards and leverages embedded data science and AI capabilities to build 360-degree personas (member and provider) and proactively identify their demand patterns.

Data on Cloud
Empowering healthcare payers with a cloud-based data foundation and modern data operations, enabling faster pipelines, trusted analytics and AI ready insights through automation, governance and continuous delivery to drive agility and better decisions.

Provider data hub
The solution standardizes provider data models, ensures FHIR-based interoperability and enhances data accuracy. Using AI boosts member experience and engagement through 360-degree network insights.
Digital Experience

Unified digital experience
Delivering a unified data driven digital experience connecting members, agents and care teams across journeys, enabling personalized interactions, faster decisions, reduced friction and scalable experience led growth.

Total experience
Delivers personalized content and transactions for consumers and payer members via omnichannel access; portals, apps, conversational and traditional channels; leveraging content management and AI driven personalization to enhance engagement and user experience.
AI-led Integrated Operating Model

The digital OneOffice
Product oriented operating model
A squad driven model aligns cross functional teams to business capabilities, enabling end to end ownership across delivery and operations by integrating business and IT roles to eliminate silos, accelerate decisions and drive outcome led delivery.

AI-led digital operation platform
A next-generation AI-powered collaboration platform that is domain-centric and role-focused, fostering a digital workforce. It automates tasks, streamlines workflows and enables real-time decision-making to improve service quality, reduce costs and drive seamless collaboration in healthcare operations.

ASM 2.0
Powered by iONA, ASM 2.0 revolutionizes IT operations with AI-driven automation, site reliability engineering (OpsDeck) and context-aware workflows. It ensures proactive issue resolution, optimized service delivery and seamless collaboration, enhancing agility, efficiency and resilience in hybrid and cloud environments.
Success Stories
Our Resources
Analyst Recognitions
HCLTech recognized as a Leader in Everest Group’s Healthcare Data, Analytics, and AI Services PEAK Matrix® Assessment 2025
Mehr erfahrenHCLTech rated as a Leader in ISG Provider Lens™ - Healthcare Digital Services, U.S. 2023
Mehr erfahrenHCLTech Positioned As A Leader And Star Performer In Everest Group’s Healthcare Provider Digital Services PEAK Matrix® Assessment 2023
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