Alivia Analytics

Alivia Analytics

Alivia Analytics occupies a narrow, deeply technical wedge of healthcare finance: the detection and prevention of improper payments in government and commercial health plans. Founded by Eric G. Janoff, the firm builds software that ingests claims data and flags anomalies — phantom billing, upcoding, duplicate claims, and more — before money leaves the door. Its platform integrates directly with payer adjudication systems, a deployment preference that embeds it within clients' real-time claims flow rather than operating as a retrospective audit tool. The firm targets the full spectrum of payment integrity domains — medical, pharmacy, and dental claims — applying machine learning models trained on payer-specific data patterns. Alivia's reference architecture processes structured claims data alongside unstructured clinical notes, lab results, and provider credential files, a data fusion approach that surfaces fraud signals invisible to rules-only engines. The company has secured contracts with multiple state Medicaid agencies and commercial health plans, though it does not publicly disclose a full client roster. Confirmed deployments include work with a large Northeastern Blue Cross Blue Shield plan and the State of Alabama's Medicaid program. Alivia operates from Woburn, Massachusetts, with a lean organizational footprint typical of vertical SaaS businesses serving government health IT. The firm does not publish headcount or total capital deployed. Its product line includes an advanced provider screening module that draws on exclusion lists, licensing board actions, and adverse media to build risk profiles on ordering and billing providers across networks. Alivia does not maintain a venture studio, philanthropic arm, or adjacent investment vehicle, and it does not participate in club-deal co-investment structures common among family offices. Its posture is that of a specialized technology provider, not a capital allocator. The structural differentiator is Alivia's pre-payment orientation. Most payment integrity vendors perform post-payment recovery, taking a contingency fee on clawed-back dollars — a model that preserves the very leakage it claims to fight. Alivia intervenes upstream, stopping improper payments at the point of adjudication. That architecture aligns its incentives with payers' true interest: never losing the money in the first place.