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A Partnership for Impact

The Ascendion Commitment to Centene and Your Members

• Not pilots. Production. 8,000+ AI agents deployed. 1,000+ production releases. Healthcare payer proof, live today.         • Fortune 50 Health Plan: $15M saved over 4 years. 8,000+ test scenarios. 30%+ effort reduction. AAVA in production.         • Home Health Provider: NPS -19 → +61. 41% autonomous ticket resolution. This is what AAVA brings to member experience.         • We Are Ready to Begin Today — The Ascendion Commitment to Centene and Your Members         • ISG Global Leader in Generative AI Services — 2025, 2nd Consecutive Year         • HFS Leader: Services-as-Software, January 2026 — Independently Verified. Consistently Leading.         • Agentic Productivity Enhancement: Moving from 80% Manual Work to Autonomous Execution         • Ascendion University: We don't just deploy AAVA. We build the human capability to run it.         • AAVA AIPO: The only purpose-built agentic operations platform in this competitive set.

A Partnership for Impact

The Ascendion Commitment to Centene and Your Members.

Our Promise to Centene - and the 27 Million Members You Serve.

We are not starting from scratch.
We are transforming what we already know.

We know this environment. The architecture. The systems. The undocumented dependencies. The stakes for your members, your providers, and your board.

What we are proposing is a transformation led by an accountable team, in place, already committed to the 27 million members you serve.

AI-powered operations. Committed outcomes tied directly to your SARE priorities. A commercial model built around real impact. A partnership rooted in the belief that better operations lead to better member lives.

Working together since 2021, with the institutional knowledge that comes with it.

Message from our executive sponsors:

Karthik Krishnamurthy, CEO and
Malleswararao Chamarty, Head of Markets

What We Will Deliver - Trusted, Measurable, and Aligned to Centene SARE Goals

This engagement unlocks capital.

$59.5M savings over 4 years
50% toil elimination by year 2
42% savings over 4 years on TCV
80% bandwidth gain for engineers

67%+ Backlog Queue Reduction

AAVA executes incident runbooks autonomously. Faster resolution. No headcount added. Member experience improved.

Protected Member Continuity at Every Phase

Phased delivery waves. Supervised AI execution. Contractual SLA commitments at every gate. No autonomous action without validated precedent.

FinOps Intelligence—A Second Savings Lever

Cloud cost governance built into the platform. A second savings lever—structural SG&A improvement beyond operational efficiency alone.

Engineering to the Power of AI: People, Process, and Platform Aligned to Outcomes

Three value engines—People, Process, Platform—each transformed by AI and aligned to outcomes.

PeopleAI

11,000 AI-ready operators. Engineers who know how to land agentic transformation inside a regulated healthcare payer.

  • Delivery leaders with healthcare domain credentials
  • Agentic Delivery Managers ensure AI works on the ground
  • Workforce trained and certified through Ascendion University
  • Human-in-the-loop oversight on every critical decision

ProcessAI

A proven methodology. Designed and deployed in regulated enterprise environments.

  • Phased delivery waves—no big-bang risk to operations
  • Supervised AI execution—confidence built before autonomy expands
  • CMS-compliant governance from day one
  • HIPAA-aligned delivery with security audit gates built in
  • One clear, consistent timeline: configuration is fast; full compliance validation is appropriately paced

PlatformAI

AAVA. The only purpose-built agentic SRE platform in this competitive set. Designed from first principles for agentic productivity enhancement—and already in production.

  • AAVA AIPO—autonomous incident runbook execution
  • FinOps intelligence—cloud cost governance built in
  • On-the-fly learning—agents improve with every engagement
  • ISG-cited, Gartner-featured, HFS-validated

AAVATM Agentic AI Platform in Action - Delivering Today

These are not concept videos or roadmap demonstrations. Every one of these is AAVA working in a live production environment—the same capabilities deployed for Centene from day one.

Human-in-the-Loop Self-Healing

MTTR from 60 min. to 15 min.

Auto Self-Healing

MTTR from 150 min. to 31 min.

DMR Automation

MTTR from 546 min. to 40 min.

Predictive Resilience

Hours of triage are eliminated, with PredicIQ prevention.

SARE Intelligence Engine

Reactive, manual resolution is now proactive, automation with SARE Assist.

Knowledge Scanner Agent

Auto-detects and resolves knowledge gaps, removing manual validation.

We're Delivering AI-Powered Impact Today

Healthcare Enterprise

8,000+ test scenarios. Enrollment, claims, and A&G automated. 30%+ effort reduction. $15M saved.

Life Sciences Enterprise

Centralized agentic operations. 70% cost reduction. 67% team productivity increase.

Clinical Research Organization

72% MTTR reduction. 60% faster ticket resolution. All powered by AAVA AIPO.

Home Health Provider

AI-powered IT operations. 41% autonomous ticket resolution. NPS grew to +61.

Healthcare Payer

32M lives. $1.5M+ saved annually. 50% faster performance. Inside a CMS-regulated payer—just like yours.

Healthcare Payer

Members got more. Support costs got less. 30% drop in demand. 25% lift in satisfaction. Self-service done right and delivered together.

Our Proven Path: We De-Risk the Transformation and Accelerate the Path to Value

Our Transformation Model

Intentional. Phased. Built to protect what matters most.

Designed to protect member continuity and provider relationships—through every phase, at every gate.

  • Phased delivery waves—no big-bang risk
  • Supervised AI execution—confidence before autonomy
  • Contractual SLA commitments at every milestone
  • Human-in-the-loop—no autonomous action without validated precedent
  • CMS-compliant governance, embedded from day one
Transition

1. Training

Train digital workers, finalize security requirements, validate data availability, refine processes, and baseline instrumentation.

Months 1–6

2. Foundation

Agentic SARE enters your environment, deployed in parallel with your team. AI-assisted triage activates. Runbooks automate. AI assisted RCA and governance go live.

Months 7–12

3. Stabilize & Transform

The shift happens here. P3–P5 incident resolution moves to autonomous AI execution. Engineers redirect to higher-value reliability and project work.

Months 13–24+

4. Accelerate Autonomy

Reactive SRE is retired. Operations are predictive, self-healing. Continuous autonomous remediation at scale.

Agentic AI and Human Expertise Combined to Improve SAR Impact

How AAVATM Works

A constellation of agents. In the hands of operators who know exactly how to run them.

AAVA is a network of specialized agentic AI components. Each is built for a specific task along the SAR lifecycle.

Incident detection. Runbook execution. FinOps governance. Observability. Backlog intelligence.

AI handles the volume. Humans handle the judgment. Agents do what's routine. People own what matters.

AAVA AIPO FinOps Incident Automation Observability Human-in-the-Loop On-the-fly Learning

Ascendion University

We don't just deploy AAVATM. We build the human capability to work with it.

Agentic AI in a 25-million-member healthcare payer doesn't fail because of technology. It fails because people can't work alongside it. Ascendion University is our answer. Purpose-built. Running today.

  • Programs and curriculum designed for agentic delivery environments
  • Agentic Delivery Managers—trained, certified, embedded
  • Client team upskilling built into every engagement
  • The capability to sustain and improve the platform—long after deployment

Our model builds your team's capability alongside our agents.

No competitor in this engagement has both a purpose-built agentic SRE platform and a workforce transformation practice at this level. This is a documented, analyst-cited position—not a claim.

Purpose-Built Curriculum Agentic Delivery Managers Workforce Transformation AI Readiness Client Upskilling

Independently Verified. Consistently Leading.

Independent Analyst & Industry Recognition - 2023–2026

HFS Non-Linearity Index Report - Leader

HFS Horizons: Legacy Application Modernization Services, 2025 - Enterprise Innovator

HFS Horizons: Generative Enterprise Services, 2025 – Market Leader

HFS Horizons: Digital Engineering Service Providers, 2023 – Enterprise Innovator

ISG Provider Lens: Generative AI Services, 2025 - Leader

ISG Provider Lens: Digital Engineering Services, 2025 - Rising Stars

Zinnov Zones 2023: Digital Engineering and ER&D Services – Leader in Overall ER&D

Zinnov Zones 2023: Digital Engineering and ER&D Services – Leader in Digital Engineering Services

AAVA™ platform was featured in Gartner Generative AI in Outsourced Software Development

Gartner Magic Quadrant for Custom Software Development Services 2024: Honorable Mention

Recognized as 2025 AI Service Provider of the Year, Ascendion wins Globee® Gold for driving transformation through AAVA™

Gartner Hype Cycle for Managed IT Services 2024: Representative vendor in AI augmented software development

We Are Ready to Begin Today

We are at a fork in the road.
Let's move forward.

The platform is real. Not pilots. Production. The proof is in healthcare environments at the scale of this engagement. The analyst validation is on record. And the team that will show up on day one already knows your environment, already knows the stakes, and is already accountable to the 25 million members you serve - something no competitor at this table can say.

We will turn SRE from a reactive cost center into a predictive, self-healing operational intelligence layer - one that makes member experience better, provider relationships stronger, and SG&A structurally lower. Year after year. Not just in year 1.

This is the moment. We are the right partner. We are ready.

*Confidential & Proprietary: For the exclusive use of Centene - Do not distribute.