<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with the Workiva Platform-->
<!--Copyright 2026 Workiva-->
<!--r:019fcd03-7754-7a85-9539-67ec83f6697c,g:4c9d8928-d242-484e-ae88-6fdee17ba9c5-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://www.evolenthealth.com/role/CoverPageCoverPage" xlink:type="simple" xlink:href="evh-20260806.xsd#CoverPageCoverPage"/>
  <link:presentationLink xlink:role="http://www.evolenthealth.com/role/CoverPageCoverPage" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract_019fcd03-7754-7dbf-9411-1d5cd1b14ecc" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CoverAbstract"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentInformationTable_019fcd03-7754-72d7-8452-fe5ba267754a" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentInformationTable"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019fcd03-7754-7dbf-9411-1d5cd1b14ecc" xlink:to="loc_dei_DocumentInformationTable_019fcd03-7754-72d7-8452-fe5ba267754a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentInformationDocumentAxis_019fcd03-7754-7af6-9917-536ff0c54085" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentInformationDocumentAxis"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationTable_019fcd03-7754-72d7-8452-fe5ba267754a" xlink:to="loc_dei_DocumentInformationDocumentAxis_019fcd03-7754-7af6-9917-536ff0c54085" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentDomain_019fcd03-7754-7c1e-a8af-7ce8be1d0f62" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentDomain"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationDocumentAxis_019fcd03-7754-7af6-9917-536ff0c54085" xlink:to="loc_dei_DocumentDomain_019fcd03-7754-7c1e-a8af-7ce8be1d0f62" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentInformationLineItems"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationTable_019fcd03-7754-72d7-8452-fe5ba267754a" xlink:to="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle_019fcd03-7754-7e4b-abec-c7a8f4ba9343" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_Security12bTitle"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_Security12bTitle_019fcd03-7754-7e4b-abec-c7a8f4ba9343" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode_019fcd03-7754-7ff8-9040-e9effdba5a17" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_EntityIncorporationStateCountryCode_019fcd03-7754-7ff8-9040-e9effdba5a17" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType_019fcd03-7754-7c93-bb00-df587eeb0bcb" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentType"/>
    <link:presentationArc order="3" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_DocumentType_019fcd03-7754-7c93-bb00-df587eeb0bcb" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName_019fcd03-7754-7fe0-803d-2a7d18e2be06" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityRegistrantName"/>
    <link:presentationArc order="4" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_EntityRegistrantName_019fcd03-7754-7fe0-803d-2a7d18e2be06" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode_019fcd03-7754-7abb-bfbf-e5eaa6335893" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CityAreaCode"/>
    <link:presentationArc order="5" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_CityAreaCode_019fcd03-7754-7abb-bfbf-e5eaa6335893" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber_019fcd03-7754-76af-adb9-cb73ac5bfd42" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_LocalPhoneNumber"/>
    <link:presentationArc order="6" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_LocalPhoneNumber_019fcd03-7754-76af-adb9-cb73ac5bfd42" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber_019fcd03-7754-713a-a516-1fab5cbef4fa" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityFileNumber"/>
    <link:presentationArc order="7" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_EntityFileNumber_019fcd03-7754-713a-a516-1fab5cbef4fa" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber_019fcd03-7754-7f53-8c02-b0583d025e18" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:presentationArc order="8" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_EntityTaxIdentificationNumber_019fcd03-7754-7f53-8c02-b0583d025e18" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1_019fcd03-7754-7134-aa5f-9bd501f3509a" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressAddressLine1"/>
    <link:presentationArc order="9" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_EntityAddressAddressLine1_019fcd03-7754-7134-aa5f-9bd501f3509a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine2_019fcd03-7754-71a4-a1be-233b2b0e7a34" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressAddressLine2"/>
    <link:presentationArc order="10" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_EntityAddressAddressLine2_019fcd03-7754-71a4-a1be-233b2b0e7a34" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown_019fcd03-7754-7d26-8507-4c9beee24300" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressCityOrTown"/>
    <link:presentationArc order="11" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_EntityAddressCityOrTown_019fcd03-7754-7d26-8507-4c9beee24300" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince_019fcd03-7754-7047-8395-6bfefaa41a74" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressStateOrProvince"/>
    <link:presentationArc order="12" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_EntityAddressStateOrProvince_019fcd03-7754-7047-8395-6bfefaa41a74" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode_019fcd03-7754-7e81-8883-1c4eb0bfff8b" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressPostalZipCode"/>
    <link:presentationArc order="13" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_EntityAddressPostalZipCode_019fcd03-7754-7e81-8883-1c4eb0bfff8b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications_019fcd03-7754-7c5e-8e37-5fe7afd1bcde" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_WrittenCommunications"/>
    <link:presentationArc order="14" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_WrittenCommunications_019fcd03-7754-7c5e-8e37-5fe7afd1bcde" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial_019fcd03-7754-74ca-9895-9dd6c6448d5a" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SolicitingMaterial"/>
    <link:presentationArc order="15" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_SolicitingMaterial_019fcd03-7754-74ca-9895-9dd6c6448d5a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer_019fcd03-7754-7487-9d8b-f0d84e9a49a6" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementTenderOffer"/>
    <link:presentationArc order="16" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_PreCommencementTenderOffer_019fcd03-7754-7487-9d8b-f0d84e9a49a6" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer_019fcd03-7754-7aed-b9db-11ad987039ec" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:presentationArc order="17" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_PreCommencementIssuerTenderOffer_019fcd03-7754-7aed-b9db-11ad987039ec" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany_019fcd03-7754-7209-9159-658862f3788c" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:presentationArc order="18" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_EntityEmergingGrowthCompany_019fcd03-7754-7209-9159-658862f3788c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol_019fcd03-7754-7785-b80d-dd8fd574a97a" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_TradingSymbol"/>
    <link:presentationArc order="19" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_TradingSymbol_019fcd03-7754-7785-b80d-dd8fd574a97a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName_019fcd03-7754-71a9-bfde-80c6c69bdfdc" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SecurityExchangeName"/>
    <link:presentationArc order="20" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_SecurityExchangeName_019fcd03-7754-71a9-bfde-80c6c69bdfdc" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate_019fcd03-7754-7fc8-92d7-cff2d927c994" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentPeriodEndDate"/>
    <link:presentationArc order="21" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_DocumentPeriodEndDate_019fcd03-7754-7fc8-92d7-cff2d927c994" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey_019fcd03-7754-7b09-994f-8de02139b50e" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityCentralIndexKey"/>
    <link:presentationArc order="22" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_EntityCentralIndexKey_019fcd03-7754-7b09-994f-8de02139b50e" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag_019fcd03-7754-7c88-977a-1f7e1d980dc6" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_AmendmentFlag"/>
    <link:presentationArc order="23" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019fcd03-7754-7f0b-b570-c99b427e164b" xlink:to="loc_dei_AmendmentFlag_019fcd03-7754-7c88-977a-1f7e1d980dc6" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
  </link:presentationLink>
</link:linkbase>
