Jobs at MedReview

Manage the full procure-to-pay lifecycle: process high-volume vendor invoices, route approvals, execute payments, reconcile statements, support month-end close and 1099 reporting. Maintain vendor records, resolve discrepancies, administer Concur expense workflows and corporate cards, and help drive AP process improvements.

The Physician Reviewer will evaluate complex hospital cases for DRG validation, ensure accurate documentation, and contribute to quality assurance initiatives.

The Data Engineer will design and maintain data pipelines on Azure, manage ClickHouse for analytics, and ensure healthcare compliance while supporting ML integration.

The Business Analyst will work with stakeholders to document requirements and analyze healthcare claims data to improve payment integrity operations.

The ETL Engineer will design, develop, and optimize ETL pipelines using tools like Azure Data Factory and ClickHouse, ensuring performance and reliability while integrating data from various sources.

Triage and process facility-submitted appeals (administrative and clinical when no new information), determine decisions per client/org policies, coordinate escalations with clinical teams, communicate with stakeholders, and ensure timely, accurate appeal resolutions while managing a high-volume caseload.

Perform inpatient claim reviews to validate ICD-10-CM/PCS coding and correct DRG assignment per Official Coding and Reporting Guidelines, collaborate with physician reviewers, meet productivity and accuracy targets, and maintain required coding credentials and continuing education.

The SFTP Analyst will manage and support enterprise SFTP/MFT platforms, troubleshoot production issues, and automate tasks in high-availability environments.