Moda Health
601 SW 2nd Ave,
Portland, 97204, OR,
United States
Portland, 97204, OR,
United States
1 503-228-6554
Insurance
Moda Health Technographics
Moda Health Technographics, Software Purchases, AI and Digital Transformation Initiatives
Discover the latest software purchases and digital transformation initiatives being undertaken by Moda Health and its business and technology executives. Each quarter our research team identifies on-prem and cloud applications that are being used by the 1400 Moda Health employees from the public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources.
During our research, we have identified that Moda Health has purchased the following applications: Cognizant TriZetto Facets for Core Admin Processing System in 2020, Microsoft BI (SSRS, SSAS, SSIS, SQL Server Reporting) for Analytics and BI in 2013, Swiftype for Application, Web and Enterprise Search in 2021 and the related IT decision-makers and key stakeholders.
Our database provides customer insight and contextual information on which enterprise applications and software systems Moda Health is running and its propensity to invest more and deepen its relationship with Cognizant , Quadient , Microsoft or identify new suppliers as part of their overall Digital and IT transformation projects to stay competitive, fend off threats from disruptive forces, or comply with internal mandates to improve overall enterprise efficiency.
We have been analyzing Moda Health revenues, which have grown to $1.70 billion in 2024, plus its IT budget and roadmap, cloud software purchases, aggregating massive amounts of data points that form the basis of our forecast assumptions for Moda Health intention to invest in emerging technologies such as AI, Machine Learning, IoT, Blockchain, Autonomous Database or in cloud-based ERP, HCM, CRM, EPM, Procurement or Treasury applications.
Moda Health Tech Stack and Enterprise Applications
Moda Health ERP Services and Operations
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| Cognizant | Legacy | Cognizant TriZetto Facets | Core Admin Processing System | ERP Services and Operations | n/a | 2020 | 2020 |
In 2020 Moda Health implemented Cognizant TriZetto Facets as its Core Admin Processing System to support member and claims operations across medical, dental, and pharmacy lines of business. Cognizant TriZetto Facets serves as the primary claims adjudication and membership hub for customer service workflows, eligibility determination, benefit configuration, and prior authorization handling.
The implementation configures standard Core Admin Processing System functional modules including claims adjudication and adjustment, eligibility and enrollment management, benefits and plan configuration, provider directory management, and pharmacy adjudication controls such as point of sale overrides. The deployment supports workflows for claim research and manual benefit calculations, routing of configuration versus processing errors for correction, and documented interaction handling across phone, chat, email, and in person channels used by front line Health Navigator staff.
Operational integrations documented in practice include use of Cognizant TriZetto Facets alongside Benefit Tracker, Content Manager, the eviCore portal, Navitus, CoverMyMeds, and the Moda 360 Navigator Console, with staff regularly accessing multiple internal and external websites concurrently while resolving member issues. The system is operational across Medical Claims, Healthcare Services, Dental Claims, Dental Provider Relations, Marketing, Group Integration, Medical Provider Relations, Pharmacy Operations, and Case Management, reflecting a broad functional footprint supporting eligibility checks, claim status inquiries, authorizations, provider searches, and pharmacy exception handling.
Governance and operational controls emphasize training and certification, with staff required to complete Effortless Experience training and ongoing skills development tied to service level agreements for Performance Guarantee groups. Operational procedures include formal request paths for claim adjustments, escalation processes for configuration corrections, and integrated case handling between Claims and downstream teams to close member issues. Cognizant TriZetto Facets is explicitly positioned as Moda Health Core Admin Processing System technology that centralizes adjudication, member service, and benefits administration for the insurer.
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Mailing System | ERP Services and Operations |
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2013 | 2013 |
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Moda Health Analytics and BI
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| Microsoft | Legacy | Microsoft BI (SSRS, SSAS, SSIS, SQL Server Reporting) | Analytics and BI | Analytics and BI | n/a | 2013 | 2018 |
In 2013, Moda Health implemented Microsoft BI (SSRS, SSAS, SSIS, SQL Server Reporting) to build a centralized Analytics and BI capability. The implementation targeted enterprise reporting and ETL to support multiple Lines of Business, with scheduled monthly SSRS reports and production job monitoring across servers.
The Microsoft BI (SSRS, SSAS, SSIS, SQL Server Reporting) deployment included extensive T-SQL development, stored procedures, and logical data models built on SQL Server 2008 and 2008 R2. Functional modules delivered comprised SSIS ETL packages for staging and main tables, SSAS analytical models, SSRS report design and distribution, and data archival into history tables to maintain backups.
Data integration identified DB2 and Oracle sources and defined Data Source Views to feed the SQL Server BI stack, and SSIS packages were created to extract, transform and load data from those sources. Operationalization used Sub Version for source control, scheduling via Tidal and SQL Server Jobs, job alerting for success or failure, and production deployments coordinated through BMC Remedy change and problem tickets.
Governance and operational support covered monitoring and tuning using SQL Profiler and Index Tuning Wizard, creation of alerts for scheduled jobs, and automation of recurring processes. The delivery team worked closely with end users to reconcile data issues across Hyperion, Rex and SSRS reports, and supported testing, bug fixes, documentation and maintenance using Visual Studio, Red Gate and standard BI lifecycle practices.
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Data Warehouse | Analytics and BI |
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2020 | 2020 |
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Moda Health Content Management
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
|---|---|---|---|---|---|---|---|---|
| Swiftype | Legacy | Swiftype | Application, Web and Enterprise Search | Content Management | n/a | 2021 | 2021 |
In 2021, Moda Health implemented Swiftype on its public website. The deployment maps directly to the Application, Web and Enterprise Search category and is positioned to improve site search supporting customer self service and member engagement business functions.
The Swiftype implementation indexes site content to deliver relevance tuned search results, autocomplete suggestions, and a site search user interface embedded into web pages. Configuration work centers on index management, relevance tuning, query handling, and search analytics via the Swiftype management console, reflecting standard Application, Web and Enterprise Search capabilities. Swiftype is used to surface plan information, provider directory entries, and help content to reduce friction in member workflows.
Operational scope is focused on the public website and digital customer touchpoints, with editorial governance for indexed content and controls for relevance rules maintained in the Swiftype console. Ongoing operational practices are oriented around periodic tuning of relevance, content refresh cadence, and analytics review to align search behavior with business priorities.
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Web Content Management | Content Management |
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2021 | 2021 |
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Moda Health CRM
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
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Customer Experience | CRM |
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2021 | 2021 |
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Customer Experience | CRM |
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2021 | 2021 |
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Customer Experience | CRM |
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2021 | 2021 |
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Customer Experience | CRM |
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2021 | 2021 |
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Digital Advertising Platform | CRM |
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2021 | 2021 |
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Marketing Automation | CRM |
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2021 | 2021 |
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Sales Automation, CRM, Sales Engagement | CRM |
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2021 | 2021 |
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Moda Health PaaS
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
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Transactional Email | PaaS |
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2021 | 2021 |
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Moda Health IaaS
Vendor |
Previous System |
Application |
Category |
Market |
VAR/SI |
When |
Live |
Insight |
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Application Hosting and Computing Services | IaaS |
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2013 | 2013 |
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Application Hosting and Computing Services | IaaS |
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2021 | 2021 |
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Content Delivery Network | IaaS |
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2013 | 2013 |
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Data Warehouse Appliance | IaaS |
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2020 | 2020 |
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IT Decision Makers and Key Stakeholders at Moda Health
| First Name | Last Name | Title | Function | Department | Phone | |
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Director, Analytics and Reporting | Director | IT | |
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Manager, Data Science | Manager | IT | |
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VP Business Operations and Enterprise Project Management Office | VP | Operations | |
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SVP & CFO | VP | Finance | |
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Corporate Controller | Director | Finance | |
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Manager Financial Planning and Analysis | Manager | Finance | |
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Accounting Manager | Manager | Finance | |
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Senior Vice President Operations | VP | Operations | |
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IT Manager | Manager | IT | |
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Manager IT | Manager | Finance | |
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Director, IT Development | Director | IT | |
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Vice President, Human Resources | VP | HR | |
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Director of Training and People | Director | HR | |
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Manager, Application Systems Group, IT Infrastructure | Manager | IT | |
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Director of Information Technology | Director | IT | |
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Manager, Enterprise Data Management and Engineering | Manager | IT | |
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Sr. Data Engineer | Non Manager | IT | |
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Chief Technology Officer | CXO | IT | |
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Manager, Provider Data Analytics | Manager | IT | |
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Provider Data Analyst II | Non Manager | IT | |
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Apps Being Evaluated by Moda Health Executives
APPS RUN THE WORLD tracks software evaluation trends across 2 million companies worldwide, including buyer insights from Moda Health IT executives and key decision makers. As part of ARTW Buyer Intent and technographics insights, these findings provide useful visibility into the Moda Health digital transformation priorities and AI adoption trends.
| Date | Company | Status | Vendor | Product | Category | Market |
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| No data found | ||||||
FAQ - APPS RUN THE WORLD Moda Health Technographics
Moda Health is a Insurance organization based in United States,
with around 1400 employees and annual revenues of $1.70 billion.
Moda Health operates a diverse technology stack with applications such as
Cognizant TriZetto Facets, Microsoft BI (SSRS, SSAS, SSIS, SQL Server Reporting) and Swiftype,
covering areas like Core Admin Processing System, Analytics and BI and Application, Web and Enterprise Search.
Moda Health has invested in cloud applications and AI-driven platforms to optimize efficiency and growth,
collaborating with vendors such as Cognizant, Microsoft and Swiftype.
Moda Health recently adopted applications including
Swiftype in 2021, Sitecore CMS in 2021 and Qualtrics CustomerXM in 2021,
highlighting its ongoing modernization strategy.
APPS RUN THE WORLD maintains an up-to-date database of Moda Health’s key decision makers and IT executives,
available to Premium subscribers.
Our research team continuously updates Moda Health’s profile with verified software purchases,
vendor relationships, and digital initiatives identified from public and proprietary sources.
Subscribe to APPS RUN THE WORLD to access the complete Moda Health technographics profile,
including detailed breakdowns by category, vendor, and IT decision makers.