Case Study: Southeast Large Health Plan Company improves population health management and member engagement with ZeOmega's Jiva platform

A Large Health Plan in the Southeast Improves Population Health Management Using Opportunity Scores and Digital Engagement

Southeast Large Health Plan Company, a complex payer with more than 40 subsidiaries, needed to replace an aging in‑house population health platform with a scalable, high‑performance system that could integrate real‑time data, work with HealthWise Care Management Solution, support consistent multi‑channel member engagement, and provide easy reporting and productivity tools for case managers. After a careful review, the organization selected ZeOmega and its Jiva population health management platform to meet these requirements.

ZeOmega implemented and customized Jiva — adding a specialized dashboard and campaign builder — to ingest claims, lab, pharmacy, survey, eligibility and vendor data and surface the organization’s proprietary opportunity and risk scores. The solution automated identification and stratification of high‑impact members, enabled multi‑channel outreach and an integrated member portal for assessments and coaching, and streamlined case manager workflows, resulting in faster, more accurate targeting of at‑risk members, improved gap closure and condition management, and measurable productivity and engagement gains for the client.