Evry Health
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Insurance
Leads Node.js sub-team architecture, technical standards, and complex full-stack development across frontend, mobile, and backend platforms. Builds React, TypeScript, Next.js, React Native, and Node.js features; designs APIs, authentication, caching, and data models; mentors engineers; and owns performance, testing, CI/CD, security, scalability, and HIPAA-compliant delivery.
Insurance
Conducts prior authorization, concurrent, and retrospective utilization reviews using MCG guidelines, medical policies, and benefit structures. Coordinates care and discharge planning, evaluates medical necessity, monitors quality concerns, escalates complex cases, and collaborates with providers, facilities, and physician reviewers. Supports coding, documentation, appeals, denials, and reimbursement issues while educating members telephonically. This is a remote role requiring rotating weekend utilization review coverage and strong clinical documentation and communication skills.
