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XO Health Inc. Tech Stack

Value-based care platform for self-insured employers

Insurance Alpharetta, GA 51–200 employees Founded 2021 Privately Held

XO Health builds a data-driven platform for self-insured employers to manage healthcare costs and outcomes. The tech stack reveals a hybrid cloud architecture (AWS + Azure) with ServiceNow as a central operational hub—the company is actively implementing ServiceNow's claims and healthcare modules alongside a parallel data platform (Kafka, OpenSearch, AWS data lake). This dual-track approach (operational systems + analytics infrastructure) maps directly to their core challenge: managing risk and high-cost claims requires both real-time claims processing and historical pattern analysis.

Tech Stack 27 technologies

Core Stack.NET Angular GraphQL AWS React Vue C# Java JavaScript ServiceNow Kafka Jenkins Azure DevOps Terraform CloudFormation Jira Azure Microsoft 365 SharePoint REST SOAP EventBridge Git SQL NoSQL AWS OpenSearch
AdoptingServiceNow MID Server

What XO Health Inc. Is Building

Challenges

  • Managing risk across self-funded employer health plans
  • High-cost claim strategy
  • Stop-loss and reinsurance strategy
  • Scaling healthcare insurance operations
  • Customizing healthcare modules
  • Optimizing pricing underwriting claims processes
  • Improving customer provider experience
  • Meeting sales quotas

Active Projects

  • Risk-sharing model development
  • Stop-loss strategy management
  • High-cost claim strategy
  • Scalable servicenow platform for healthcare insurance
  • Implementing servicenow csm and hcls modules
  • Integrating with aws data lake and microsoft 365
  • World-class data platform
  • Xo health ai strategy
  • Scalable data pipelines

Hiring Activity

Decelerating10 roles · 2 in 30d

Department

Sales
5
Engineering
3
Data
1
Finance
1

Seniority

Senior
5
Mid
3
Junior
1
Principal
1
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About XO Health Inc.

XO Health serves self-insured employers—companies that assume direct financial risk for employee healthcare rather than purchasing traditional insurance. The platform addresses the operational and financial complexity of that model: managing stop-loss and reinsurance strategies, optimizing claims workflows, and surfacing cost and quality data to support provider contracting and member outcomes. Founded in 2021, the company operates from Alpharetta, GA with a small, senior-weighted team (5 leadership/principal roles) and active hiring in sales and engineering, indicating early-stage scaling. The product stack spans claims processing (ServiceNow), data analytics (Kafka, AWS/Azure cloud), and member/provider applications (modern JavaScript frameworks).

HeadquartersAlpharetta, GA
Company Size51–200 employees
Founded2021
Hiring MarketsIndia, United States

Frequently Asked Questions

What tech stack does XO Health use?

Primary: .NET, C#, Java, React, Angular, Vue, GraphQL, AWS, Azure, ServiceNow, Kafka, SQL/NoSQL, AWS OpenSearch. Actively adopting ServiceNow for claims/healthcare modules. Infrastructure: Jenkins, Terraform, CloudFormation, Azure DevOps.

What is XO Health working on?

ServiceNow platform implementation for healthcare insurance operations; risk-sharing and stop-loss strategy management; scalable data pipelines and cloud data lake integration (AWS + Microsoft 365); AI strategy development.

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