Pareto Intelligence
Pareto Intelligence is a healthcare data analytics company that provides the ParetoIQ platform to Medicare Advantage, Medicaid, ACA, commercial, and risk-bearing provider organizations for risk adjustment, Star Ratings, premium accuracy, payment integrity, and member engagement analytics. It is a Convey Health Solutions subsidiary headquartered in Chicago.
- Company typePrivate
- Founded2018
- HeadquartersChicago, United States
- Headcount51–100
- GTM typeB2B
- OfferingSoftware
What Pareto Intelligence does
Pareto Intelligence is a US healthcare data analytics and technology company that builds and sells the ParetoIQ platform to Medicare Advantage health plans, Medicaid managed care organizations, ACA Marketplace issuers, commercial health plans, and risk-bearing provider groups. The platform unifies risk adjustment, Star Ratings, premium accuracy, payment integrity, and member engagement analytics on a single data foundation, with AI/ML used across predictive forecasting, recommendation targeting, anomaly detection, and automated data processing. Core product modules include RevenueIQ (risk adjustment and premium integrity), StarIQ (predictive MA Star Ratings analytics), RewardsIQ (data-driven member incentive programs), PaymentIntegrityIQ (pre- and post-pay accuracy with MSP/COB coordination), and a Pareto Consulting practice covering RADV audit preparedness and operational advisory.
Pareto monetizes through enterprise subscriptions and consulting/managed services, with annual billing tied to organization size, membership, and selected modules; pricing is quote-based and not publicly disclosed. The go-to-market is direct enterprise field sales targeting payer executives, supplemented by a thought-leadership content engine (webinars, ACA risk-adjustment analyses, CMS commentary), industry conference participation, and demo-led consultative selling. Reported scale metrics include 55+ healthcare organizations served, 21B+ records analyzed, 14+ TB processed, 12M+ members supported across government programs, and $500M+ in cumulative client financial impact identified.
The company is a wholly-owned subsidiary of Convey Health Solutions, which provides distribution and operational leverage; Pareto maintains a focused analytics organization of 51-100 employees headquartered in Chicago, with HITRUST CSF, SOC 2 Type II, and HIPAA certifications and KLAS Top Performer recognition. Revenue is not publicly disclosed.
Pareto Intelligence firmographics
Firmographics- Name
- Pareto Intelligence
- Legal name
- Pareto Intelligence LLC
- Website
- https://paretointel.com
- Company type
- Private
- Founded year
- 2018
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- Pareto Intelligence is a healthcare data analytics company that provides the ParetoIQ platform to Medicare Advantage, Medicaid, ACA, commercial, and risk-bearing provider organizations for risk adjustment, Star Ratings, premium accuracy, payment integrity, and member engagement analytics. It is a Convey Health Solutions subsidiary headquartered in Chicago.
- Ownership category
- akta.pro rank
Pareto Intelligence industry classification
Industry- Product category
- Healthcare Data Analytics Software
- akta.pro primary industry
- De-identification, Tokenization & Privacy-Preserving Data Platforms (HLACAIAK)
Keywords
Where Pareto Intelligence is headquartered
LocationHeadquarters
- HQ city
- Chicago
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Pareto Intelligence business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Analytics Platform/SaaS Subscriptions: Subscription-based analytics platform providing risk adjustment, Star Ratings, payment integrity, and member engagement solutions to healthcare organizations. Revenue derived from annual or multi-year contracts with health plans.
- Consulting & Managed Services: Advisory expertise spanning all solutions to help health plans and providers navigate regulatory complexity, sharpen strategy, and execute confidently. Includes hands-on implementation, strategy, risk assessment, and operational support.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise pricing - custom quotes for healthcare organizations |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels7 records
Pareto Intelligence product offering
Product offeringCore offering
Pareto Intelligence provides a healthcare data analytics platform (ParetoIQ) that ingests, aggregates, and analyzes clinical, claims, enrollment, pharmacy, provider, and government data using AI and machine learning to deliver risk adjustment analytics, Star Ratings optimization, payment integrity, and member engagement solutions. Its modular product suite—RevenueIQ, StarIQ, RewardsIQ, and PaymentIntegrityIQ—is sold on subscription to Medicare Advantage, Medicaid, ACA Marketplace, and commercial health plans, complemented by Pareto Consulting advisory services.
Product overview
Pareto Intelligence offers the ParetoIQ platform—a unified healthcare analytics platform with multiple integrated solution modules including RevenueIQ (risk adjustment and premium integrity), StarIQ (Medicare Advantage Star Ratings analytics), RewardsIQ (member incentive programs), and PaymentIntegrityIQ (claims payment accuracy). The platform is powered by AI and machine learning, processes over 21 billion healthcare records, and is supported by Pareto Consulting services for implementation and advisory support. The platform unifies critical healthcare data across risk, quality, premium and member engagement for integrated outputs.
Differentiator
Problem solved
Functional benefit
Products and services
- RevenueIQ
Quantifiable outcome
- $500M+ in total financial impact to healthcare organizations
- +9 more outcomes
Companies that use Pareto Intelligence
Customer profileNamed customers6 records
Segments5 records
Ideal customer profiles4 records
Pareto Intelligence technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability7 records
Feature8 records
Pareto Intelligence partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Convey Health SolutionsflagshipPareto Intelligence is a wholly-owned subsidiary of Convey Health Solutions. As part of the Convey Family of Companies, Pareto brings precision analytics together with broader operational capabilities to help health clients improve performance across the member journey. Convey provides resources, benefits, and professional development of a national enterprise while Pareto maintains its nimble, analytics-focused team.
Scale indicators9 records
Recent moves8 records
Expansion highlights6 records
Pareto Intelligence competitors and assessment
Company assessmentDirect peers
- Cotiviti: Cotiviti is a leading payment integrity and risk adjustment analytics vendor serving health plans — a direct competitor to Pareto's PaymentIntegrityIQ and RevenueIQ risk adjustment offerings.
- Inovalon: Inovalon provides healthcare data analytics for payers, with strength in risk adjustment, quality, and outcomes analytics — directly comparable to Pareto's RevenueIQ and StarIQ modules.
- Apixio (Centene): Apixio, now part of Centene, was a pure-play risk adjustment and quality analytics vendor for health plans — closely comparable to Pareto's RevenueIQ and StarIQ offerings.
- Milliman (MedInsight): Milliman provides healthcare analytics for payers and providers, with MedInsight serving risk, quality, and population health use cases — directly competes with Pareto's analytics engine for the same buyer personas.
- Reveleer: Reveleer offers risk adjustment, quality improvement, and member management analytics for health plans — closely overlapping with Pareto's RevenueIQ, StarIQ, and RewardsIQ solutions.
- Episource: Episource provides risk adjustment, HCC coding, and quality analytics for health plans and providers — a direct comparable to Pareto's risk adjustment and quality solutions.
- Arcadia: Arcadia is a healthcare data analytics platform serving payers and providers with risk, quality, and population health capabilities — overlaps with Pareto's data platform and risk modules.
Broad incumbents
- Optum (UnitedHealth Group): Optum is the largest healthcare analytics incumbent, offering risk adjustment, payment integrity, and Star Ratings tools as part of a broad services portfolio — overlaps heavily with Pareto's full suite.
- Health Catalyst: Health Catalyst provides a healthcare data and analytics platform with risk, quality, and population health modules — a broader incumbent that competes with Pareto for payer analytics budgets.
Emerging players
- Clarify Health: Clarify Health provides payer and provider analytics with strengths in value-based care and network performance — an emerging competitor addressing overlapping use cases for health plan analytics buyers.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Pareto Intelligence social profiles
Digital presencePareto Intelligence compliance and trust
Trust signalCompliance3 records
Pareto Intelligence financial estimates
Financial estimateRevenue estimate
Valuation estimate
Pareto Intelligence leadership team
Management profileNumber of profiles
Profiles11 records
Pareto Intelligence funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Pareto Intelligence M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Pareto Intelligence
What does Pareto Intelligence do?
Pareto Intelligence provides a healthcare data analytics platform (ParetoIQ) that ingests, aggregates, and analyzes clinical, claims, enrollment, pharmacy, provider, and government data using AI and machine learning to deliver risk adjustment analytics, Star Ratings optimization, payment integrity, and member engagement solutions. Its modular product suite—RevenueIQ, StarIQ, RewardsIQ, and PaymentIntegrityIQ—is sold on subscription to Medicare Advantage, Medicaid, ACA Marketplace, and commercial health plans, complemented by Pareto Consulting advisory services.
Is Pareto Intelligence a public or private company?
Pareto Intelligence is a private company. It is classified as corporate owned and is currently operating.
When was Pareto Intelligence founded?
Pareto Intelligence was founded in 2018. It employs 51 to 100 people.
Where is Pareto Intelligence based?
Pareto Intelligence is headquartered in Chicago, United States, in the North America region.
How does Pareto Intelligence make money?
Two revenue lines are on record. Analytics Platform/SaaS Subscriptions are the primary driver. The others are consulting & Managed Services.
Who are Pareto Intelligence's main competitors?
Direct peers on record are Cotiviti, Inovalon, Apixio (Centene), Milliman (MedInsight), Reveleer, Episource and Arcadia. Broad incumbents are Optum (UnitedHealth Group) and Health Catalyst. Clarify Health is listed as an emerging player.
Does Pareto Intelligence have an API?
No public API is recorded for Pareto Intelligence.
What industry is Pareto Intelligence in?
Pareto Intelligence's product category is Healthcare Data Analytics Software. Its primary akta.pro industry code is HLACAIAK, De-identification, Tokenization & Privacy-Preserving Data Platforms.