Convey Health Solutions Philippines, Inc.

Convey Health Solutions Philippines, Inc. Is the Mandaluyong City site of Convey Health Solutions, a healthcare technology and services company that supports health plans, payers and provider organizations across the United States. Buyers working with this site gain access to healthcare-focused business process outsourcing built around Medicare, Medicaid, exchange and commercial health plan operations, covering everything from member enrollment through risk adjustment analytics and back office processing.

The services list spans plan sales and pre-enrollment support, member enrollment and reconciliation, premium billing, and supplemental benefits administration. Risk adjustment and analytics work includes performance and suspecting analysis for payer clients, alongside health information management. Member engagement services cover reward and incentive programs and customer and member services designed to support retention and satisfaction. Back office operations and advisory and consulting round out the offering, along with compliance oversight and support for quality and star ratings initiatives.

Convey Health Solutions works with health plans and payers operating in the Medicare, Medicaid, health insurance exchange and commercial markets, along with provider organizations pursuing strategic and operational support. The company states that plans covering 19% of Medicare lives use its services, and that seven of the top 20 health plans are among its clients, placing the healthcare and health insurance industries served by this listing squarely in the government-sponsored and regulated payer space.

Convey Health Solutions has operated in this space since 2001, giving it 25 years of experience with CMS enrollment rules and payer compliance requirements. The company reports processing more than 2.2 billion transactions per year and holds a Top 3 KLAS rating for risk adjustment and analytics services, with global recognition noted for health information management. Its family of companies includes Pareto Intelligence, which provides risk adjustment analytics, rewards and incentives, and quality and health equity services through a dedicated technology platform.

For healthcare payers evaluating outsourcing partners with deep Medicare and CMS compliance experience, the Mandaluyong City site of Convey Health Solutions Philippines, Inc. Offers a direct link into this specialized services organization.