Jobs at MedReview

The Payment Integrity Product Development Specialist supports the development of the SNF Payment Integrity audit product by leveraging expertise in SNF regulations and clinical methodologies to ensure compliance and operational efficiency.

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

The Pricing Resolution Specialist analyzes inpatient medical claims, reviews documentation for reimbursement, and provides support on claims adjudication issues.

The DRG Reviewer will analyze inpatient claims for coding accuracy, ensure proper DRG assignment, and collaborate with physician reviewers, among other responsibilities.

The Appeals Specialist II investigates and resolves healthcare appeals and complaints, ensuring compliance, accuracy, and timely responses to providers and clients.

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

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.

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

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