Sagility
Sagility is a publicly listed tech-enabled BPaaS provider serving US healthcare payers and providers with AI-augmented claims, clinical, payment integrity, and member engagement operations across 34 delivery centers in five countries.
- Company typePublic
- Founded2001
- HeadquartersWestminster, United States
- Headcount5,001–10,000
- GTM typeB2B
- OfferingServices
What Sagility does
Sagility is a tech-enabled healthcare operations company that delivers Business Process as a Service (BPaaS) and consulting to US healthcare payers and providers. The company's portfolio spans Claims & Membership Management, Payer Clinical Services, Payment Integrity, Provider Network Operations, Provider Services, Engagement Services, and Consulting. Approximately 90% of revenue is derived from US healthcare payers, and Sagility serves 7 of the top 10 US health plans, with 95% client retention and an 18-year average tenure for top-5 accounts.
The technology stack combines proprietary AI and automation platforms including Nurse Assist (AI-powered prior authorization processing 2.1M+ reviews/year at 94% accuracy), Sagility Synchrony (an AI-led Medicare Advantage lifecycle orchestration platform integrating Convey's Miramar and Simplify Healthcare's Benefit1), SmarTec (AI orchestration), Agentic Platforms, Analytics-as-a-Service, and Intelligent Automation. CareSeed's Forecast and Harvest platforms add NCQA-certified HEDIS quality reporting and medical record review. Sagility holds HIPAA, SOC 2 Type 2, HITRUST CSF, and ISO certifications.
The company operates approximately 44,000-48,000+ employees across 34 delivery centers in 5 countries (US, India, Philippines, Jamaica, Colombia) and generates revenue through multi-year enterprise contracts using FTE-based, transaction-based, outcome-based, PMPM, and managed services pricing. Sagility completed its IPO on NSE India in 2024 (ticker: SAGILITY) following prior ownership by EQT BPEA IX, and has executed three acquisitions since 2023 (Devlin Consulting, BroadPath Healthcare Solutions, CareSeed) to extend capabilities into payment integrity, payer services, and quality reporting.
Sagility firmographics
Firmographics- Name
- Sagility
- Legal name
- Sagility Limited
- Website
- https://sagilityhealth.com
- Company type
- Public
- Founded year
- 2001
- Operating status
- Operating
- Headcount range
- 5,001–10,000 employees
- Short description
- Sagility is a publicly listed tech-enabled BPaaS provider serving US healthcare payers and providers with AI-augmented claims, clinical, payment integrity, and member engagement operations across 34 delivery centers in five countries.
- Ownership category
- akta.pro rank
Sagility industry classification
Industry- Product category
- Healthcare Business Process Services (BPaaS)
- NAICS
- Other Management Consulting Services (541618)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- SaaS Security Posture Management (SSPM) (HDADADAI)
- akta.pro secondary industry
- Security Awareness, Training & Compliance Attestation (HDADAIAJ)
Keywords
Where Sagility is headquartered
LocationHeadquarters
- HQ city
- Westminster
- HQ country
- United States
- HQ region
- North America
Offices15 records
Markets served
Sagility business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales
Revenue model
- Healthcare BPM Services: Provides end-to-end healthcare operations services to payers and providers including claims management, clinical services, member engagement, payment integrity, and provider network operations. Revenue generated through long-term contracts with healthcare payers and providers, typically structured as FTE-based pricing, transaction-based, or outcome-based models.
- Technology-enabled BPaaS: Business Process as a Service offering combining technology platforms with operational services. Pricing models include FTE-based, transaction-based, outcome-based, PMPM, and managed services constructs.
- Consulting Services: Strategic and operational advisory services for health plans including technology migrations, operational transformation, and strategic growth consulting.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | Custom enterprise contracts based on service scope and delivery model |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels8 records
Sagility product offering
Product offeringCore offering
Sagility is a technology-enabled healthcare operations partner providing end-to-end Business Process as a Service (BPaaS) to US healthcare payers and providers. Its offerings span claims and membership management, payer clinical services, payment integrity, provider network operations, engagement services, consulting, and provider services, augmented by proprietary AI platforms including Nurse Assist, Sagility Synchrony, SmarTec, and the CareSeed Forecast and Harvest platforms.
Product overview
Sagility is a tech-enabled healthcare operations company offering a comprehensive portfolio of services and technology platforms for healthcare payers and providers. The portfolio includes core service pillars (Claims & Membership Management, Consulting, Engagement Services, Payer Clinical Services, Payment Integrity, Provider Network Operations, and Provider Services) complemented by technology platforms (BPaaS, AI/ML, Agentic Platforms, Analytics-as-a-Service, Digital Portals, Intelligent Automation). Notable products include Sagility Synchrony (AI-led Medicare Advantage lifecycle orchestration platform), CareSeed's Forecast and Harvest platforms (NCQA-certified HEDIS quality reporting acquired in 2026), Nurse Assist (AI prior authorization platform), and the SmarTec and Synchrony AI suite. The company serves 7 of the top 10 U.S. health plans and processes over 1.37 billion transactions annually.
Differentiator
Problem solved
Functional benefit
Brands
- Sagility Synchrony: An integrated lifecycle solution for Medicare Advantage plans, combining enrollment, billing, and benefits management platforms to streamline operations
- Nurse Assist
- SmarTec
- Forecast and Harvest
Products and services
- Claims & Membership Management
Quantifiable outcome
- 50% faster clinical review time using generative AI/ML; typical TAT < 2 days
- +11 more outcomes
Companies that use Sagility
Customer profileNamed customers5 records
Segments2 records
Ideal customer profiles2 records
Sagility technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability6 records
Feature8 records
Sagility partnerships and signals
Strategic signalPartnerships
Five partnerships are on record, tiered core and minor.
- CareSeedcoreSagility acquired CareSeed, a Kansas City-based healthcare analytics company specializing in NCQA-certified HEDIS quality reporting and regulatory analytics for health plans. CareSeed serves approximately 30 small and mid-sized US payers focused on Medicare Advantage and brings cloud-native platforms (Forecast and Harvest). The acquisition strengthens Sagility's quality operations capabilities and creates cross-selling opportunities across technology and clinical services. Deal valued at up to $30 million comprising $17.5M upfront and up to $12.5M contingent consideration.
- Simplify HealthcarecoreStrategic alliance to launch Sagility Synchrony, an integrated Medicare Advantage lifecycle solution. The platform combines Simplify Healthcare's Benefit1 benefits design and document management platform with Sagility's operational capabilities to streamline operations from plan design through enrollment and billing, reducing operational costs by 25-40% while improving compliance and member experience.
- Convey Health SolutionscoreStrategic alliance to launch Sagility Synchrony, an integrated Medicare Advantage lifecycle solution. The platform integrates Convey's Miramar enrollment and billing platform with Sagility's clinical and operational capabilities. Achieves 98% on-time ID card fulfillment and reduces operational costs by 25-40% for health plans.
- BroadPath Healthcare SolutionscoreSagility acquired BroadPath Healthcare Solutions, a healthcare services provider based in Tucson. The deal strengthens Sagility's market presence in the US healthcare sector by adding over 30 clients and expanding service offerings including automation, analytics, and AI capabilities.
- Devlin Consulting Inc.minorSagility acquired Devlin Consulting Inc., a healthcare technology services company in Arizona. This acquisition aimed to expand Sagility's payment services across multiple US health plans and enhance analytics capabilities.
Scale indicators22 records
Recent moves7 records
Expansion highlights6 records
Sagility competitors and assessment
Company assessmentBroad incumbents
- Cognizant: Global IT services and BPM major with a sizable healthcare business serving US payers and providers. Directly competes with Sagility in healthcare operations outsourcing but offers a much broader portfolio including cloud, consulting, and digital engineering.
- Optum (UnitedHealth Group): Vertically integrated healthcare operations and technology arm of UnitedHealth Group. Competes with Sagility on payer-side BPM, payment integrity, and clinical services, but with far greater scale and captive demand from UnitedHealthcare.
- Wipro: Indian-headquartered IT services major with a healthcare BPM practice targeting US payers and providers. Directly competes with Sagility in claims management, member engagement, and clinical services delivery, with comparable offshore delivery economics.
- Accenture: Global consulting and technology major with a significant healthcare BPM practice. Overlaps with Sagility on payer and provider operations transformation but typically competes on larger, consulting-led engagements.
Direct peers
- R1 RCM: Healthcare revenue cycle management specialist serving US providers and payers with technology-enabled services. Closely comparable to Sagility's Provider Services and Payment Integrity offerings, with similar AI-driven automation roadmaps.
- Conduent: Business process services and digital interactions company with substantial US healthcare payer exposure. Competes head-to-head with Sagility in claims processing, member engagement, and transaction processing for health plans.
- TTEC Holdings: Customer experience and digital customer engagement services company with healthcare payer clients. Competes with Sagility on member engagement services and AI-enabled contact center operations.
- Hinduja Global Solutions (HGS): India-based BPM and customer experience outsourcer with healthcare payer and provider clients. Most directly comparable peer in geography, scale, and business model, competing on similar claims and member engagement work.
- Maximus: US-headquartered services provider specializing in health and human services program administration. Overlaps with Sagility's payer operations work and increasingly competes in Medicaid and Medicare program support.
- Firstsource Solutions: India-listed BPM company with a strong healthcare payer vertical serving US health plans. Closely comparable to Sagility in delivery model, customer base, and digital transformation positioning.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Sagility social profiles
Digital presenceSagility compliance and trust
Trust signalCompliance3 records
Sagility financial estimates
Financial estimateRevenue estimate
Valuation estimate
Sagility leadership team
Management profileNumber of profiles
Profiles23 records
Sagility subsidiaries and ownership
Company hierarchySubsidiaries3 records
Sagility funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Sagility M&A and investment
M&A and investmentM&A4 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Sagility
What does Sagility do?
Sagility is a technology-enabled healthcare operations partner providing end-to-end Business Process as a Service (BPaaS) to US healthcare payers and providers. Its offerings span claims and membership management, payer clinical services, payment integrity, provider network operations, engagement services, consulting, and provider services, augmented by proprietary AI platforms including Nurse Assist, Sagility Synchrony, SmarTec, and the CareSeed Forecast and Harvest platforms.
Is Sagility a public or private company?
Sagility is a public company. It is classified as public and is currently operating.
When was Sagility founded?
Sagility was founded in 2001. It employs 5,001 to 10,000 people.
Where is Sagility based?
Sagility is headquartered in Westminster, United States, in the North America region.
How does Sagility make money?
Three revenue lines are on record. Healthcare BPM Services are the primary driver. The others are technology-enabled BPaaS and consulting Services.
Who are Sagility's main competitors?
Broad incumbents on record are Cognizant, Optum (UnitedHealth Group), Wipro and Accenture. Direct peers are R1 RCM, Conduent, TTEC Holdings, Hinduja Global Solutions (HGS), Maximus and Firstsource Solutions.
Does Sagility have an API?
No public API is recorded for Sagility.
What industry is Sagility in?
Sagility's product category is Healthcare Business Process Services (BPaaS). Its primary akta.pro industry code is HDADADAI, SaaS Security Posture Management (SSPM), with a secondary code of HDADAIAJ, Security Awareness, Training & Compliance Attestation. Its NAICS code is 541618 and its SIC code is 7372.