Evry Health

Evry Health is seeking Bilingual Call Center Representatives to support its significant growth. Call Center Representatives provide accurate and thorough information on commercial health plan benefits, eligibility, and claims. You will handle inbound and outbound calls as well as respond to email in

Evry Health is seeking Call Center Representatives to support its significant growth. Call Center Representatives provide accurate and thorough information on commercial health plan benefits, eligibility, and claims. You will handle inbound and outbound calls as well as respond to email inquiries fr

System Architecture & Design: Lead the design and implementation of scalable and maintainable systems, ensuring alignment with business requirements and technical standards. Development & Coding: Write efficient and maintainable code using Node 20 LTS (back-end), Next 15+ (Backend + Front end), Reac

Customer Implementation & Integration Lead end-to-end technical implementations of our AI tools (both SaaS and on-premise solutions) for enterprise customers Design and execute custom integrations with customer systems, APIs, databases, and existing workflows Conduct technical discovery sessions to

Evry Health is seeking a tech-savvy Nurse to join our team for Care Coordination. As a Care Coordinator you work with members to improve their wellness and engage with our health plan's benefits. You build good relationships with both our health plan members and our medical providers through phone c

Responsible for communicating with providers regarding claims issues, service issues and general network provider complaints Development of an adequate provider network in assigned geographical areas (currently Texas metroplex areas) Responsible for collecting roster updates and standardizing inform

We are seeking a highly skilled and experienced certified Actuary to join our dynamic team for commercial health insurance underwriting. This role reports to the Chief Actuary. The ideal candidate will be an actuary with a deep understanding of commercial health insurance underwriting, capable of wo

Evry Health is seeking a tech-savvy and bilingual (English/Spanish) Nurse to join our team for Care Coordination. As a Care Coordinator you work with members to improve their wellness and engage with our health plan's benefits. You build good relationships with both our health plan members and our m

Evry Health is hiring a tech-savvy Medical Director to lead medical policy and utilization management for a growing, technology-enabled health plan. In this role, you will work closely with teams across actuarial, technology, care coordination, and medical quality management to shape how care is del

The Provider Dispute & NSA Adjuster is responsible for the end-to-end management of provider dispute resolution, with a strong focus on Texas open negotiation (Chapter 1467) and the No Surprises Act (NSA) Independent Dispute Resolution (IDR) framework within a commercial health plan environment. Thi

Responsible for the review and processing of claims within the claims transactional system, according to plan benefits and contractual reimbursement terms. Follows established policies and procedures to pay, pend for additional information, or deny claims. Process claims subject to Coordination of B