We Make it Easy to Deliver Connected, Member-First Coverage

Softheon simplifies shopping, enrollment, billing, and member management so every American can get and keep the coverage they need.

Built for the People Powering the Plans

With 25+ years of Marketplace expertise, Softheon delivers modern solutions for those leading health insurance. We cut through everyday complexity so you can focus on what matters most: Supporting your members.

Mission

Making healthcare more affordable, accessible, and plentiful.

Vision

Everyone can access and choose the healthcare they need.

Values

Be honest, open, and constructive | Channel passion into purpose | Cultivate excellence | Relationships Matter | We > I

softheon health plan software

We’ve Been Building Agentic Systems for Over 25 Years. Long before it was a buzzword, it was our business

  1. 1998

    1998

    Before Softheon existed, founder Eugene Sayan filed a patent 6,477,569 B1 titled Method and Apparatus for Computer Network Management. This innovation laid the foundation for what is now known as agentic process automation, envisioning software agents that could intelligently route and optimize complex workflows. That bold idea became the DNA of Softheon: A culture of innovation, continuous improvement, and a commitment to building adaptive systems that make healthcare simpler, smarter, and more member-centric.

  2. 2000

    2000

    Softheon launched with a vision to simplify complexity through technology. The company quickly built credibility with enterprise clients like Sony, JCPenney, and Chase by delivering powerful workflow and content management systems.

    Those early projects honed the team’s skills in large-scale integration and process automation. They set the stage for Softheon’s eventual pivot to healthcare, where the need for transformation was even greater.

  3. 2006

    2006

    When Massachusetts created the first state health exchange, Softheon worked with Perot Systems to deliver an enrollment, billing, and CRM solution in just 90 days, helping launch Romneycare successfully.

    This achievement became the blueprint for the ACA Marketplaces that followed. It proved Softheon could build and operate exchange infrastructure at scale, balancing speed, compliance, and member experience.

  4. 2012

    2012

    Softheon expanded into private health exchanges, giving employers, brokers, and individuals new ways to shop for and manage coverage. These platforms helped drive consumer-driven healthcare long before it became mainstream.

    The lessons learned from private exchanges shaped Softheon’s later work in the Marketplace. The technology stack was refined to handle complex enrollment, billing, and reconciliation processes in both public and commercial environments.

  5. 2020

    2020

    Softheon launched subsidiary W3LL, an integration engine connecting brokers, benefit partners, and ICHRA administrators directly to leading health plans. Bringing seamless On-Exchange enrollments, automated payments, and Off-Exchange ICHRA growth under one roof.

    Visit W3LL.com to learn more.

  6. June 2022

    June 2022

    Softheon partnered with Cox HealthPlans, a provider-aligned organization in Missouri, to power its Medicare Advantage operations. Bringing the same trusted technology already used on the ACA Marketplace, Softheon modernized Cox’s enrollment, billing, and compliance capabilities to keep pace with market growth. We are proud to support health plans across lines of business, lowering administrative costs for organizations focused on community-driven care.

  7. Sep 2022

    Sep 2022

    Softheon acquired NextHealth Technologies alongside its AI-powered analytics platform, bringing advanced data-science capabilities into the Softheon ecosystem. The technology and talent from this acquisition strengthened Softheon’s ability to help health plans reduce administrative costs, improve effectuation and retention rates, and personalize member engagement.

    Founder and CEO Eugene Sayan shared, “Artificial intelligence in healthcare is here, and we are seeing the incredible impact it can have on both members and carriers. Our goal has been to make healthcare more affordable, accessible, and plentiful, and we see AI as a clear path forward to bring efficiencies to our carrier partners. This acquisition is a testament to Softheon’s commitment to helping health plans tackle some of their biggest challenges, such as population health and the movement toward consumerism in healthcare.”

  8. 2024

    2024

    Softheon launched CITIZ3N, a subsidiary with a purpose-built platform to help state and federal agencies modernize eligibility, enrollment, and verification processes.

    CITIZ3N combines Softheon’s two decades of Marketplace expertise with advanced automation, identity verification, and secure data exchange. CITIZ3N's Verify platform helps agencies streamline eligibility decisions, reduce fraud, waste, and abuse, strengthen program integrity, and allows for community engagement and work requirement tracking.

    With CITIZ3N, Softheon expanded its mission beyond carriers to help governments deliver benefits more efficiently and equitably.

    Visit Citiz3n.com to learn more.

  9. Today

    Today

    Softheon powers shopping, enrollment, billing, payments, and analytics for millions of Americans across ACA, Medicare Advantage, and ICHRA.

    Health plans rely on our technology to reduce administrative burden, improve member experience, and scale new coverage models. Our focus remains on simplifying healthcare operations and expanding access to affordable, high-quality coverage for every member we serve.

    As a preferred partner for ACAP, ACHP, and Health Plan Alliance, we believe that it takes the entire industry working together to make healthcare more affordable, accessible, and plentiful for every American.

Built for the People Powering the Plans

Provider-Aligned

Serve the whole person by blending care and coverage. Reduce admin load so your teams can invest more time and resources in member health.

Community-Focused

Build lasting trust in your local markets with AI-powered tools and proven best practices that let you compete, and win, against larger plans.

National

Scale faster and smarter across states with technology that adapts to new markets, manages complexity, and keeps your member experience consistent everywhere.

Measurable Impact for Your Staff — and Your Members

Enrollments
0 M+
Licensed Carriers
0 +
Premiums Processed
$ 0 B+

Purpose-Led. Member-Focused. Committed to Better Healthcare Coverage

Eugene Sayan

Founder, Chairman, CEO

Darnell Dent

Board Director

Charles Stellar

Board Director

Howard Nolan

Chief Financial Officer

Leon Eagan

Chief Information Security Officer

Amanda Swiatocha

Chief Marketing Officer

Robert Miller

GM & SVP, Government Solutions

Kevin Deutsch

GM & SVP, Health Plan Solutions

Ann Mary Bender

VP of HR, People, & Culture

Alison Martinez

VP of Operations

Sean Vogel

VP of Client Success

Kyle Broderick

General Counsel

Hear from the Softheon Team

Work that Makes a Difference

Looking to help millions of Americans enroll in and maintain their health coverage? At Softheon, we’re always searching for mission-driven individuals ready to push boundaries and drive the future of healthcare technology.

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100% Remote U.S. Workforce

We’re proud to be a fully remote (and hybrid-friendly) company with a workforce entirely based in the United States. Wherever you are, you’ll collaborate with talented colleagues across the country while helping transform healthcare access.

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Growth Mindset, Always

Our culture thrives on curiosity, innovation, and collaboration. Every team member plays a critical role in our mission, and we invest in helping you grow your career.

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