Lead the design and implementation of scalable backend systems and RESTful APIs using Node.js and Next.js. Provide technical leadership through mentorship, code reviews, and performance optimization of SQL databases and cloud services.
Evry Health
6 Remote Job Openings at Evry Health
The Care Guide Advocate supports RN Care Coordinators and Utilization Management RNs by assisting members and providers with navigation and administrative tasks. Key duties include managing prior authorizations, conducting provider searches, and ensuring a seamless patient experience.
The role involves evaluating health insurance applications to set competitive premium rates and analyzing claims experience to inform underwriting decisions. The actuary will collaborate with sales teams to develop insurance products and ensure regulatory compliance.
Lead the design and implementation of scalable back-end systems using .NET technologies and Azure cloud infrastructure. Provide technical leadership through mentorship, code reviews, and performance optimization to ensure high availability.
Responsible for the end-to-end claims adjudication process, including verification of eligibility and coordination of benefits. The role involves auditing auto-adjudicated claims and maintaining desktop procedures to ensure regulatory compliance.
Claims Specialists manage the end-to-end claims adjudication process, including testing configuration, verifying eligibility and coordination of benefits, and finalizing claim determinations based on the health benefits plan. They are also responsible for auditing auto-adjudicated claims for accuracy and ensuring compliance with regulations while developing and maintaining desktop procedures.
