H
HealthEdge Software
Offers benefits administration and care management software solutions
About HealthEdge Software
HealthEdge is a prominent player in the healthcare technology sector, specializing in next-generation core administrative systems and care coordination solutions for health plans. The company primarily serves healthcare payers, which include insurance companies and organizations that manage health plans such as Medicare and Medicaid. HealthEdge operates in the U.S. healthcare market, focusing on helping these payers adapt to the evolving landscape of value-based care and reimbursement models.
The business model of HealthEdge revolves around providing software solutions that streamline administrative processes and enhance care management. Their flagship product, HealthRules Payor, is a claims administrative processing system (CAPS) that has been recognized by KLAS Research for its efficiency and effectiveness. This system helps health plans manage claims, member services, and provider networks more effectively, reducing costs and improving service quality.
HealthEdge generates revenue through the sale of its software solutions and ongoing service contracts. These contracts often include software licensing fees, implementation services, and ongoing support and maintenance. By offering a comprehensive suite of tools that address the administrative and care coordination needs of health plans, HealthEdge helps its clients become more resilient to industry changes and better equipped to succeed in the value-based care environment.
The company has been recognized by Gartner as a Sample Vendor for its core administrative system for 11 consecutive years, highlighting its consistent performance and innovation in the sector. Additionally, HealthEdge has formed strategic partnerships, such as with CitiusTech, to further enhance its offerings and provide more comprehensive solutions to its clients.
In summary, HealthEdge is a key technology provider for healthcare payers, offering advanced administrative and care coordination solutions that help clients navigate the complexities of the healthcare industry and improve their operational efficiency.
Source: Dealroom company dataAt a glance
- Status
- Acquired
- Founded
- 2004
- Headquarters
- Burlington, United States
- Employees
- 2,225
- Open positions
- 42
- Dealroom signal
- 51.1/100
- Industry
- Enterprise Software
- Sector
- Other B2B Software, Navigation, SaaS, Healthcare, Mapping, Administration, Back Office, Care, Platform, Benefit
- Business model
- SaaS
- Client focus
- b2b
- Investment activity
- 3 companies, latest Oct 2021
- Capital deployed
- —
- Preferred round
- ACQUISITION
Knowledge graph
More headlines
Funding history
Company financing events and reported valuations.
| Deal type | Date | Amount | Valuation | Investors | Source |
|---|---|---|---|---|---|
| BUYOUTOther financing | May 2025 | $0 | — | Bain Capital | ↗ |
| BUYOUTOther financing | Mar 2020 | $0 | — | Blackstone | ↗ |
Growth signals
Latest recorded traffic for HealthEdge Software is 33K monthly website visits, down 21.4% over the last three months. HealthEdge Software's team grew 12.6% over the past year.
Open positions
Similar companies
Company identity and context are open; selected comparison metrics preview what is available on the platform.
Investments and acquisitions
Recent portfolio relationships for companies that also act as investors or acquirers.
WellframeBoston, United StatesStrategically partners with health plans nationwide to reimagine the relationship between plans and members
$80Mvaluation
Altruista HealthUnited StatesSoftware tools, data analytics, and support services that assist in clinical and administrative processes
→
BurgessAlexandria, United States
→
Investors
From Dealroom's funding and investor records, grouped by the round each investor first entered.
Series A1 investor entered at this stage
Psilos Group
Series B and later7 investors entered at this stage
Oaktree Specialty Lending
Fifth Street Technology Partners
Medica
Medica Venture Partners
Horizon Technology Finance Corporation
Blackstone
Bain Capital
Source: Dealroom Talent Intelligence.
Global footprint
team presence
Market sentiment
An AI-synthesised read of the highest-engagement posts about HealthEdge Software on X, ranked by likes and reposts, corporate channels excluded.
Reading the room on X — pulling top posts and synthesizing themes…
Source: X recent search ranked by engagement (likes + retweets) · Synthesis by Claude · Cached for 1 hour
See HealthEdge Software’s full profile on Dealroom
Request a free trial to see the complete deal history, financials, people graph and growth signals.
Takes under a minute. Already use Dealroom? Log in.