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.
Evry Health
12 Remote Job Openings at Evry Health
Bilingual (Spanish) Commercial Health Call Center Representative - Remote
Evry Health
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Full Time
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2 days ago
Evry Health
Provide accurate information on commercial health plan benefits, eligibility, and claims via phone and email. Handle member inquiries, manage escalations, and collaborate with internal departments to resolve issues.
Design and deliver virtual training programs for claims and customer service operations staff to ensure system proficiency and regulatory compliance. Develop instructional materials, SOPs, and assessments while collaborating with SMEs to translate complex processes into actionable learning.
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.
Bilingual (Spanish) Commercial Health Call Center Representative
Evry Health
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Full Time
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14 days ago
Evry Health
Provide accurate information on commercial health plan benefits, eligibility, and claims via phone and email. Handle member inquiries, manage escalations, and document all interactions while collaborating with internal departments to resolve issues.
Commercial Health Call Center Representative- REMOTE (copy)
Evry Health
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Full Time
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14 days ago
Evry Health
Provide accurate information on commercial health plan benefits, eligibility, and claims via phone and email. Handle member inquiries, manage escalations, and collaborate with internal departments to resolve complex issues.
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.
Lead end-to-end technical implementations and custom integrations of AI tools for enterprise customers. Provide pre-sales technical support and collaborate with product teams to refine the AI roadmap based on customer feedback.
Evaluate and analyze health insurance applications to determine risk and set premium rates. Collaborate with sales teams to develop competitive insurance products and ensure alignment with company goals.
Medical Director for Health Plan (Full-time or Part-time)
Evry Health
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Full Time
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a month ago
Evry Health
The Medical Director will lead utilization management strategy and medical policy development to ensure the delivery of cost-effective, high-quality healthcare services. They will also collaborate with cross-functional teams to identify care trends, improve clinical quality, and evaluate new patient engagement technologies.
Lead the design and implementation of scalable back-end systems using .NET technologies and Azure cloud infrastructure. Provide technical leadership and mentorship to junior engineers while ensuring high availability and security of services.
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.
