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Healthtech • Software
Perform evidence-based utilization management reviews, prepare compliant member and provider correspondence, consult with Medical Directors, document clinical determinations, ensure NCQA/CMS regulatory compliance, meet productivity and turnaround targets, support verbal notifications, and drive process improvements.
Healthtech • Software
Provide evidence-based medical utilization reviews for orthopedic spine cases, document decisions in Cohere workflows, conduct peer-to-peer provider discussions, meet turnaround and quality standards, and support clinical and operational improvement projects.
Healthtech • Software
Operate and maintain AWS-hosted MERN applications and large-scale data workflows. Manage serverless and Spark-based pipelines, perform incident response and on-call duties, engineer automation to eliminate operational toil, ensure HIPAA/SOC2/HITRUST compliance, build observability and lead blameless post-mortems.


















