---
title: Clinical Management Business Process as a Service (BPaaS) | Clearlink
description: Learn how our BPaaS solution can help your MCO reduce costs, stay compliant, and streamline care management through integrated technology and clinical services.
---

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[info@clearlinkpartners.com](mailto:info@clearlinkpartners.com)

# Delegated Clinical Operations, Powered by BPaaS

Offload complex clinical operations and gain a scalable, secure foundation for growth. With clinical BPaaS, managed care organizations can shift capabilities, launch new products faster, and expand membership without added operational strain. Streamlined workflows, efficient data exchange, and built-in regulatory compliance are supported through centralized system designed for high reliability and consistent performance. With predictable costs, reduced administrative burden, and manageable upfront investment, flexibility becomes financially sound, without the added risk.

**Learn how clinical BPaaS can help you reduce costs, stay compliant, and streamline clinical operations.**

### Power Progress with BPaaS

## Integrated with ZeOmega Jiva

Clinical BPaaS brings care management, utilization and medical management, appeals and grievances management, and provider portal assistance together through deep alignment with ZeOmega’s industry-leading, KLAS-recognized Jiva platform. MCOs can get the most out of clinical content and automation while standardizing workflows, improving visibility, and supporting timely, compliant decision-making across programs. The result is faster adoption, stronger performance, and consistent execution across core clinical operations.

![](https://landing.clearlinkpartners.com/hubfs/BPaas/LP_Img_2_d.jpg)

## 99%

On-time completion of UM determinations

## 99%

Adherence to care plan timelines, and member outreach

## Q1-Q4

Quarterly performance reviews for compliance management and continuous improvement

## Why MCOs Are Making the Switch

Legacy Model

Clearlink BPaaS Model

### High Upfront Platform Costs

Expensive licensing, setup, and infrastructure

### Minimal Upfront Investments

Industry-leading technology with predictable capital expenses

### Long Implementation Timelines

Months or even years to get up and running

### Rapid Onboarding

Fully operational in just six months

### Costly Internal Staffing

Hiring, training, and retaining in-house teams

### Expert Team Included

Integrated clinicians, coordinators, leadership, and analysts

### Ongoing Maintenance Fees

Costly compliance monitoring and upgrades

### Maintenance Included

Updates and compliance support at no extra cost

### Limited Scalability

Fixed overhead for costly and inefficient growth

### Fully Scalable

Services and costs based on membership needs

### Heavy Administrative Burden

Manual processes slow down decision-making

### AI-Powered Automation

Streamlined workflows for fast, efficient operations

### Unpredictable Costs

Costs change with staffing, IT, and compliance

### Predictable PMPM Pricing

Costs align with membership volume for no surprises

### Compliance Exposure

Constant compliance changes to systems, processes, and workflows, with self-managed monitoring and reporting

### Compliance Support

Built-in compliance with ongoing monitoring and reporting

## Case Study: Real Results from Clinical BPaaS

When a multi-state health plan faced inconsistent performance, staffing gaps, and mounting compliance risk, Clearlink delivered a fully managed clinical BPaaS solution to stabilize and scale operations. By integrating technology, automation, and expert clinical teams, the organization achieved faster decisions, audit-ready compliance, and significant improvements in member outcomes—all within six months.

- Star Rating improved from 3.0 to 4.5
- Decreased overall LOS by 2.3 days
- Decreased hospital IP admissions by 8.7%
- Reduced weekend admissions and ED visits

![thumbnail of case study document](https://landing.clearlinkpartners.com/hs-fs/hubfs/raw_assets/public/Sagefrog%20Landing%20Pages/assets/images/case-study-bpass-thumbnail.jpg?width=280&name=case-study-bpass-thumbnail.jpg)

## Request a Free Case Study

### Cut Costs, Not Capabilities

Traditional clinical management models come with substantial upfront costs that strain budgets and slow down operations, from purchasing and licensing a platform to hiring large clinical teams. With per member per month pricing, we **eliminate the need for extensive clinical platform purchase, complex implementation, employee costs, and ongoing IT maintenance.** Our BPaaS model absorbs platform updates, regulatory changes, and infrastructure costs so you can redirect resources toward strategic initiatives like member engagement, value-based care, and innovative health programs. Our model allows you to keep costs predictable and focus on what matters most.

FIND CLARITY FOR YOUR HEALTHCARE ORGANIZATION FIND CLARITY FOR YOUR HEALTHCARE ORGANIZATION FIND CLARITY FOR YOUR HEALTHCARE ORGANIZATION FIND CLARITY FOR YOUR HEALTHCARE ORGANIZATION FIND CLARITY FOR YOUR HEALTHCARE ORGANIZATION FIND CLARITY FOR YOUR HEALTHCARE ORGANIZATION

FIND CLARITY FOR YOUR HEALTHCARE ORGANIZATION FIND CLARITY FOR YOUR HEALTHCARE ORGANIZATION FIND CLARITY FOR YOUR HEALTHCARE ORGANIZATION FIND CLARITY FOR YOUR HEALTHCARE ORGANIZATION FIND CLARITY FOR YOUR HEALTHCARE ORGANIZATION FIND CLARITY FOR YOUR HEALTHCARE ORGANIZATION

### Find Clarity for Your Healthcare Organization

Clearlink Partners is an industry-leading independent clinical and operational consultancy specializing in total cost of care that provides optimized, end-to-end clinical and operational management programs for managed care organizations, health plans, providers, and health systems. Through expert insights, innovative processes, and comprehensive solutions, Clearlink helps healthcare companies improve enterprise-wide alignment and navigate a dynamic healthcare ecosystem.

![](https://landing.clearlinkpartners.com/hubfs/landing-pages/lp-operational-management/about-images.png)

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