Evry Health
51 - 200 employees
Founded 2017
⚕️ Healthcare Insurance
🤝 B2B
🧘 Wellness
Healthcare Insurance • B2B • Wellness
Evry Health is a modern, mobile-first health insurance company that provides fully insured employer health plans and personalized care teams. Built for midsize and larger employers (primarily in Texas), Evry offers no-copay, no-deductible plans, 24/7 virtual care, integrated wellness programs, and individualized support from nurses, nutritionists, and doctors to simplify costs and improve employee health. The company emphasizes a human, member-focused approach and digital tools (iOS/Android app) to deliver care and benefits.
Medical Director – Health Plan
🕒 April 24
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Evry Health
51 - 200 employees
Founded 2017
⚕️ Healthcare Insurance
🤝 B2B
🧘 Wellness
Healthcare Insurance • B2B • Wellness
Evry Health is a modern, mobile-first health insurance company that provides fully insured employer health plans and personalized care teams. Built for midsize and larger employers (primarily in Texas), Evry offers no-copay, no-deductible plans, 24/7 virtual care, integrated wellness programs, and individualized support from nurses, nutritionists, and doctors to simplify costs and improve employee health. The company emphasizes a human, member-focused approach and digital tools (iOS/Android app) to deliver care and benefits.
📋 Description
• Lead utilization management strategy, including oversight of medical necessity determinations and review processes • Own medical policy development, incorporating regulatory updates and care guideline changes • Lead and Partner with the Utilization Management Review Committee • Provide medical oversight, expertise, and leadership to ensure the delivery of cost effective, quality healthcare services to health plan members • Promote positive relations with the local medical community, including periodic consultation with providers, facilities, caregivers, etc. • Review case management data to identify trends, gaps in care, and recommend corrective actions • Provide oversight and direction for staff and provider training and education • Integrate clinical quality and best clinical practices into medical management program development • Evaluate the development of new programs and the continuation of existing programs • Investigate future care management and patient engagement technologies and evaluate their impact on providers’ practices, patient safety, and patient experience
🎯 Requirements
• Active, unrestricted Texas (TX) medical license without limitations or sanctions • Doctor of Medicine (MD) with 8+ years of clinical experience; management experience preferred • Board certification in a specialty recognized by the American Board of Medical Specialties • Experience working within a health insurance plan, with an emphasis on population health • Experience in managed care and utilization management, including performing utilization reviews within a health plan • Strong knowledge of managed care systems, quality improvement, and clinical best practices • Experience with MCG or other clinical guidelines
🏖️ Benefits
• Competitive salary • Comprehensive health, dental, and vision insurance as well as life and disability • Retirement savings plan with company match • Generous time off/vacation • Professional development opportunities • Flexible and remote work environment
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