About HealthEC
Elligint Health delivers a unified medical management platform designed specifically for health plans, payers, and value-based care organizations. The company's flagship Helios platform combines three core capabilities: operational care management and utilization management workflows (Helios CM and Helios UM), an advanced analytics intelligence layer that surfaces risk and performance insights in real time, and an AI-ready partner ecosystem that integrates specialized technologies directly into clinical workflows. Recognized as a top performer by KLAS Research in 2025, Helios supports over 13 million covered lives and helps organizations automate prior authorization decisions to meet CMS-0057-F timelines, identify high-risk members earlier with predictive analytics, and coordinate care across multidisciplinary teams. The platform is 90% configurable to align with specific contracts and processes, enabling health plans to manage Star Ratings, HEDIS measures, quality gaps, and medical loss ratio performance from unified dashboards. Elligint Health serves health plans, Medicaid and Medicare programs, accountable care organizations, delegated provider groups, and community-based health plans managing complex populations including LTSS (Long-Term Services and Supports) and government programs. The company's technology foundation supports value-based payment models by aggregating clinical, claims, risk, and social determinants of health data into a single member view, enabling coordinated care delivery and financial accountability at scale.
Clinical Focus
Medical conditions and clinical areas addressed by HealthEC.
Who It Serves
Milestones & Awards
Recent Milestones
Named Joseph Bodley as Chief Client Operations & Process Officer (April 2026). Welcomed Amy Qureshi, RN, as Enterprise Vice President, Product Strategy (April 2026). Announced strategic partnership with Impresiv Health (January 2026). Recognized as top performer by KLAS Research (2025).
Awards & Recognition
KLAS Research top performer 2025
Key Partnerships
Company Details
- Headquarters
- Edison, NJ, USA
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