MedReview is a different type of payment integrity company. As a physician-led organization, our doctors review and document every claim we reassign, resulting in the highest savings per review and the lowest appeal overturn rate in the industry. Our advanced algorithms are enriched by machine learning and decades of clinical and claims data, enabling us to target claims with the highest potential for inaccuracy and abuse.

With a passion for ensuring claims fairly represent the care provided, MedReview offers pre- and post-pay billing audits with clinical reviews that save millions of dollars a year for our clients. Our full range of services include industry-leading solutions in payment integrity, utilization management and quality assurance.

MedReview Inc.

Infrastructure Engineer

•''The System Engineer is responsible for the day-to-day operation and maintenance of Servers and infrastructure systems that are located on premise and in the cloud. The System Engineer fulfills responsibilities in some or all of the following technical areas: Azure, Servers maintenance, Systems upgrades and procurement, infrastructure design and layout, Disaster Recovery design and implementation, OS installation and maintenance, management of system tools and applications, Active Directory services.

System Engineer

Customer Support

• Responsible for responding to all customer inquiries.
• Research inquiries and ensure feedback is provided in a timely manner.
• Take customer calls and reply to customer e-mails with accurate, satisfactory answers.
• De-escalate situations involving dissatisfied customers, assistance, and support.
• Review customer or client accounts and provide updates and information about claim audit status and other claim inquiries.
• Verify contact information for requesting documents required for review and safeguarding client and member data in accordance with HIPAA regulations.
• Guide callers through troubleshooting and navigating the company site/e-mail portal.
• Collaborate with other call center professionals to improve customer service.
• Transcribe phone calls.

Customer Service Representative

Security Engineer

• The Security Engineer is responsible for securing, maintaining and monitoring MedReview’s enterprise infrastructure and networking security.
• The role is tasked with detecting vulnerabilities, planning with departments for deployment, and remediating vulnerabilities within the infrastructure.
• The Security Information Engineer is also tasked with deploying best practices for securing information as well as platforms in the infrastructure.

Project & Program Management

• Develop and manage the project, communication, resource plans and processes
• Manage projects with top-down oversight throughout entire execution to ensure success by adhering to standards of scope, budget, and timeline
• Analyze all operational and technical processes to ensure they’re delivered as expected
• Meet regularly with project stakeholders and define project goals and objectives
• Generate status and/or risk reports to update stakeholders and manage projects
• Research and evaluate new hardware and software technology and help make decisions on the cost-benefit analysis of new purchases
• Monitor all application schedules and document all requirements to assure regulatory compliance with *HITRUST standards *security/privacy framework used by multiple industries to provide data peace of mind

Technical Project Manager

Human Resources

• Recruits, interviews, hires, and trains new staff in the department.
• Plans, oversees and manages the daily workflow of the department.
• Provides ongoing constructive feedback and timely performance evaluations.
• Handles discipline and termination of employees in accordance with company policy.
• Maintains department budget.
• Collaborates with senior leadership to understand the organization’s goals and strategy related to staffing, recruiting, development, succession, and retention.
• Determines high impact priorities and ensures resources are aligned to meet organizational goals.
• Leads and engages in the administration of human resource programs including, but not limited to, compensation, payroll, benefits, and leave; disciplinary matters; disputes and investigations; performance and talent management; productivity, recognition, and morale; occupational health and safety; and training and development.
• Monitors and ensures the organization’s compliance with federal, state, and local employment laws and regulations, and recommended best practices; reviews and modifies policies and practices to maintain compliance across multiple states.
• Reports to the Compliance Committee regarding compliance with training, licensure, credentialling, timeliness of evaluations and other required documentation.
• Identifies and implements staffing and recruiting strategy; partners with team to build, develop, and execute best practices for hiring and talent management.

MedReview Inc. Jobs in New York City

MedReview Inc.

System Engineer

MedReview Inc.

Customer Service Representative

MedReview Inc.

Security Engineer

MedReview Inc.

Technical Project Manager

MedReview Inc.

Sr. Director of Human Resources

MedReview Inc.