Optumas
CBIZ Optumas is a US healthcare actuarial consulting firm serving state Medicaid agencies, public and private employers, and healthcare providers with CMS-compliant rate setting, risk adjustment, benefit pricing, and BI/dashboard services.
- Company typePrivate
- Founded2006
- HeadquartersScottsdale, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Optumas does
Optumas (operated as CBIZ Optumas) is a US-based healthcare actuarial and consulting firm founded in 2006 as the successor to schramm·raleigh Health Strategy, functioning as a subsidiary within the CBIZ professional services network. The firm helps healthcare purchasers identify, quantify, and balance risk associated with health care reform through three core service lines: Actuarial Consulting (including actuarially sound rates, risk-adjusted rates, benefit pricing, and program change impact analysis), Health Care Analytics (claims analysis using episodes of care and evidence-based practices), and BI/Dashboards (Tableau and Power BI implementations). Its proprietary stepwise methodology combines actuarial and econometric estimation techniques to deliver CMS-compliant rate development and budget-neutral capitation payment designs.
The firm primarily serves state government Medicaid and health and welfare agencies, public and private employers, and to a lesser extent healthcare providers and local/municipal governments. Its customer base is anchored by long-tenured state engagements, including an 18-year relationship with the State of New Mexico and active work across more than a dozen states. The leadership team comprises credentialed actuaries (FSA/MAAA, ASA/MAAA), economists, a Chief Medical Consultant with 35+ years of clinical experience, and senior consultants with direct state Medicaid agency backgrounds, citing 65+ years of combined actuarial experience.
Optumas operates as a project-based B2B professional services firm with sales conducted through direct engagement, website contact forms, and industry referrals. Pricing is not publicly disclosed and is negotiated per engagement. The company has no disclosed funding, no publicly reported revenue, and is not publicly listed. Strategic momentum is modest: the firm has gradually expanded its geographic footprint and added BI/Dashboards as a service line, but shows no recent M&A, leadership turnover, or aggressive scaling signals.
Optumas firmographics
Firmographics- Name
- Optumas
- Legal name
- CBIZ Optumas
- Website
- https://optumas.com
- Company type
- Private
- Founded year
- 2006
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- CBIZ Optumas is a US healthcare actuarial consulting firm serving state Medicaid agencies, public and private employers, and healthcare providers with CMS-compliant rate setting, risk adjustment, benefit pricing, and BI/dashboard services.
- Ownership category
- akta.pro rank
Optumas industry classification
Industry- Product category
- Healthcare Actuarial Consulting
- NAICS
- Other Scientific and Technical Consulting Services (54169)
- SIC
- Services-Management Consulting Services (8742)
- akta.pro primary industry
- Healthcare Outcomes & Real-World Evidence (RWE) Analytics (BPAHALAN)
- akta.pro secondary industry
- Data, Analytics & AI Consulting (BPAHAEAF)
Keywords
Where Optumas is headquartered
LocationHeadquarters
- HQ city
- Scottsdale
- HQ country
- United States
- HQ region
- North America
Markets served
Optumas business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D
Revenue model
- Actuarial Consulting Services: Consulting fees for actuarial services including rate setting, risk assessment, and certification for Medicaid, CHIP, and employer health programs. Services are provided on a project basis or retainer arrangement.
- Health Care Analytics Consulting: Fees for claims analysis, episode of care analysis, and evidence-based practice analytics for healthcare purchasers and payers.
- BI/Dashboards Services: Business intelligence and dashboard implementation services using industry leading tools like Tableau and Power BI.
Go-to-market motion1 record
Distribution channels1 record
Marketing channels3 records
Optumas product offering
Product offeringCore offering
CBIZ Optumas is a healthcare actuarial consulting firm that delivers actuarial consulting, healthcare data analytics, and business intelligence dashboard solutions. The firm primarily serves state Medicaid agencies, public and private employers, healthcare providers, and local governments across the United States, with deep expertise in Medicaid rate-setting, healthcare program analytics, and health benefits strategic consulting.
Product overview
CBIZ Optumas is a healthcare actuarial consulting firm offering a unified suite of services. The core offerings include Actuarial Consulting (encompassing Actuarially Sound Rates, Risk Adjusted Rates, Benefit Pricing, and Program Changes), Health Care Analytics, and BI/Dashboards. These services work together to help purchasers identify, quantify, and balance healthcare risk while improving health care access, quality, and coverage through data-driven insights.
Differentiator
Problem solved
Functional benefit
Products and services
- Actuarial Consulting Services
Quantifiable outcome
- Budget-neutral capitation payment distribution across health plans through risk adjustment methodology
- +1 more outcomes
Companies that use Optumas
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles4 records
Optumas technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
Feature3 records
Optumas partnerships and signals
Strategic signalScale indicators3 records
Recent moves7 records
Expansion highlights4 records
Optumas competitors and assessment
Company assessmentDirect peers
- Wakely Consulting Group: Specialized healthcare actuarial consulting firm focused on state Medicaid, ACA marketplace, and health plan clients — a close peer in scope, customer base, and methodology for Medicaid rate setting and risk adjustment.
- Health Management Associates: Specialized policy and consulting firm serving state Medicaid and health and human services agencies, including actuarial and rate-setting work — closely comparable in customer base and consulting depth.
- Milliman: One of the largest global actuarial consulting firms, with a deep healthcare practice delivering Medicaid managed care rate setting, risk adjustment, and predictive analytics to state agencies — directly competing with CBIZ Optumas on the same core services.
- BerryDunn: Mid-size consulting and CPA firm with a state health and human services practice providing actuarial, rate-setting, and compliance services to Medicaid agencies — a comparable regional-scale peer.
- Mercer: Operates a major health actuarial consulting business serving state Medicaid programs, employer health plans, and risk-adjustment work, making it a direct competitor for the same Medicaid rate-setting and benefit-pricing engagements.
Emerging players
- Leavitt Partners: Healthcare consulting firm focused on value-based care, state health policy, and reform advisory work — partial overlap with Optumas's reform consulting and analytics offerings for state and employer clients.
Broad incumbents
- Willis Towers Watson: Global advisory firm with healthcare actuarial and employer-benefit consulting practices that overlap with Optumas's benefit pricing and risk-adjacent rate-setting work for public and private employers.
- Deloitte (Government & Public Services — Health Practice): Large professional services firm with a dedicated state health and human services practice providing Medicaid actuarial, policy, and analytics services — broad incumbent competing for the same state contracts.
- Oliver Wyman: Global management consulting firm with a substantial health and life sciences actuarial practice serving government payers and large employers — broader portfolio but directly overlapping on Medicaid and reform consulting.
- KPMG (Healthcare Actuarial): Big Four firm with a healthcare actuarial and risk-adjustment practice serving state Medicaid agencies and large employer plans — competes for the same large-scale Medicaid managed care engagements.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Optumas social profiles
Digital presenceOptumas financial estimates
Financial estimateRevenue estimate
Valuation estimate
Optumas leadership team
Management profileNumber of profiles
Profiles7 records
Optumas funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Optumas 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 Optumas
What does Optumas do?
CBIZ Optumas is a healthcare actuarial consulting firm that delivers actuarial consulting, healthcare data analytics, and business intelligence dashboard solutions. The firm primarily serves state Medicaid agencies, public and private employers, healthcare providers, and local governments across the United States, with deep expertise in Medicaid rate-setting, healthcare program analytics, and health benefits strategic consulting.
Is Optumas a public or private company?
Optumas is a private company. It is classified as corporate owned and is currently operating.
When was Optumas founded?
Optumas was founded in 2006. It employs 11 to 50 people.
Where is Optumas based?
Optumas is headquartered in Scottsdale, United States, in the North America region.
How does Optumas make money?
Three revenue lines are on record. Actuarial Consulting Services are the primary driver. The others are health Care Analytics Consulting and BI/Dashboards Services.
Who are Optumas's main competitors?
Direct peers on record are Wakely Consulting Group, Health Management Associates, Milliman, BerryDunn and Mercer. Leavitt Partners is listed as an emerging player. Broad incumbents are Willis Towers Watson, Deloitte (Government & Public Services — Health Practice), Oliver Wyman and KPMG (Healthcare Actuarial).
Does Optumas have an API?
No public API is recorded for Optumas.
What industry is Optumas in?
Optumas's product category is Healthcare Actuarial Consulting. Its primary akta.pro industry code is BPAHALAN, Healthcare Outcomes & Real-World Evidence (RWE) Analytics, with a secondary code of BPAHAEAF, Data, Analytics & AI Consulting. Its NAICS code is 54169 and its SIC code is 8742.