Evolent Health Services

Administrative and Clinical Services Powered By Modern Technology

Health plans and risk-bearing providers demand greater accountability. We deliver.

Evolent Health Services partners with health plans and risk-bearing provider organizations to simplify administrative and clinical operations through:

  • A comprehensive set of services from a single partner

  • A modern platform that integrates clinical and administrative data, increases automation and drives insights through easy access to data and reports

  • A financially aligned partnership model supported by a highly collaborative and dedicated team that monitors performance and drives rapid issue resolution.

  • Expertise across both payer and provider partners, initially developed by helping providers take insurance risk and bolstered by the acquisition of health plan service provider Valence Health in 2016.  

Meet The Evolent Health Services Leadership Team

Comprehensive clinical and administrative services delivered by our people, process, platform and partnership model

  • Claims Processing
  • Eligibility and Enrollment
  • Encounters
  • Customer Service
  • Member and Provider Portals
  • Pharmacy Benefit Management
  • Provider Data Management
  • Finance

 

  • Payment Integrity

  • Care Management
  • Population Health Management
  • Utilization Management
  • Disease Management
  • Actuarial Services
  • Reporting and Analytics
  • Risk Adjustment and Quality

 

 

A Better Way to Operate, Grow and Evolve Your Organization

To keep pace in today’s health care market, health care organizations must demand greater accountability and productivity from their strategic partners. Read about four signs that your administrative platform is becoming obsolete.

Learn More About Our Integrated Offering