Jobs at MedRisk

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.

The Data Analyst Level I supports data-driven solutions, generates reports using SQL and Excel, and collaborates on client performance analysis.

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

The Non-Clinical UR Coordinator supports the Utilization Review process by ensuring completeness of requests and managing non-clinical data entry tasks without clinical evaluation.

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

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

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

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.

The Specialist reviews and resolves PIP arbitrations and workers' compensation claims, maintaining compliance with NJ regulations and negotiating settlements.

Assist injured employees via calls, handle loss documentation reports, provide translation services, and follow established claim procedures while promoting professionalism and teamwork.

The Training and Admin Specialist develops and delivers training programs, evaluates training needs, and provides administrative support including maintaining records, managing supplies, and ensuring compliance with regulations.

The Bill Review Associate II processes and reviews complex billing documents, ensuring accuracy, resolving discrepancies, and maintaining efficient communication with stakeholders.

The QA Analyst Level I is responsible for testing software applications to ensure quality standards are met.

Oversee customer experience and provider relations, ensuring quality service and support to clients.

The Client Solutions Manager oversees project management for client projects, coordinating with business and tech teams while ensuring effective communication and deliverables adherence. Responsibilities include gathering requirements, managing workflows, and maintaining project timelines.

The Revenue Operations Strategy Manager will develop operational strategies, improve processes, and collaborate with various departments to enhance efficiency and meet company goals.

The Nurse Medical Information Specialist IV analyzes cases and claims to improve healthcare resource utilization and quality. Responsibilities include adjudicating cases, reviewing appeals, pricing claims, and collaborating with clinical reviewers.

The QA Clinical Analyst Level I is responsible for ensuring quality standards in clinical processes, analyzing data for compliance, and providing support for clinical quality improvement initiatives.