Jobs at MedRisk

Perform administrative screening and data entry for utilization review requests, ensuring completeness and accuracy of non-clinical documentation, routing cases, maintaining records in the proprietary UR system, coordinating with clinical reviewers, and meeting SLAs while preserving confidentiality.

Manage full-cycle recruiting for technical and healthcare roles: source, screen, interview, coordinate offers, maintain ATS records, run recruiting events, partner with hiring managers and staffing agencies to build a diverse talent pipeline.

Entry-level QA Analyst responsible for executing test cases, logging defects, verifying fixes, maintaining test documentation, and collaborating with developers and product teams to ensure software quality.

Assist with analysis and support of clinical systems and workflows. Gather requirements, help with EHR configuration, testing, troubleshooting, reporting, documentation, and end-user support/training.

Evaluate customer interactions (calls, chats, emails) against quality standards, analyze KPIs and trends, provide coaching feedback, prepare quality reports, help develop evaluation criteria and training, and support process improvement and compliance.

Conduct audits of clinical reviews and calls to ensure regulatory compliance and documentation accuracy; analyze trends, recommend quality improvements, provide feedback and training, collaborate with cross-functional teams, and support continuous improvement of clinical review processes.

Data Analyst Level II responsible for analyzing data, generating reports, and providing insights based on findings. Flexible shifts available.

Entry-level QA Analyst responsible for executing test cases, documenting and reporting defects, assisting with test plans, and collaborating with developers to ensure product quality. May perform manual testing and maintain test documentation.

The QA Analyst Level I role involves supporting quality assurance processes and conducting tests to ensure software meets standards.

Answer inbound phone calls from providers and collection staff to resolve claim status inquiries, explain billing processes and timing, coordinate with internal departments, meet service and availability standards, identify system/procedural issues, and complete assigned projects.

Provides clinical nursing expertise within medical information services — responding to clinical inquiries, documenting medical information, liaising with healthcare professionals, and supporting regulatory-compliant communications.

The QA Analyst Level I will be responsible for assisting in the software testing process, ensuring product quality and compliance with specifications.

The Foundation Skills Trainer develops, delivers, and assesses training programs for essential skills, while providing administrative support and ensuring compliance with safety regulations.

Responsible for managing complex appeals in workers' compensation claims, drafting responses, collaborating with legal counsel, and recommending process improvements.

Facilitate negotiations between healthcare providers and develop contracts, maintain relationships, and analyze financial impacts within the health insurance industry.

Lead the development and negotiation of healthcare provider contracts, managing a team and ensuring regulatory compliance while improving network strategies.

Lead the development and negotiation of healthcare provider contracts, manage contract compliance, and oversee a team of contracting specialists.

Entry-level quality assurance analyst responsible for assisting in software quality assurance testing and quality control processes.

The Principal Data Platform Engineer leads the architecture and development of the enterprise data platform, focusing on analytics, data science, and AI/ML capabilities. They establish standards for data quality and observability, design data ingestion and processing patterns, and mentor team members to enhance technical capabilities.

The role involves analyzing healthcare cases and claims, advising on care appropriateness, coordinating with clients, and ensuring compliance with healthcare standards.