Jobs at MedRisk

Supervises Medical Bill Review team activities, manages performance reviews, ensures client expectations are met, and resolves issues as needed.

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

Manage timely, accurate revenue receipt and collections by researching billing, claim processing, and reimbursement issues; communicate with payers; meet production standards; report trends; propose process improvements; maintain revenue workflows and ensure HIPAA compliance.

Evaluate customer interactions (calls, chats, emails) against quality standards, analyze KPIs and trends, provide feedback for coaching, prepare reports, help develop QA criteria and training, and collaborate with stakeholders to implement quality improvements and ensure policy/regulatory adherence.

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.

The Negotiation Specialist evaluates and negotiates workers' compensation claims, ensuring compliance with laws while achieving fair resolutions and minimizing costs.

The BI Developer will design and deliver scalable analytics solutions using Power BI, migrate legacy assets, and ensure data integrity through effective governance and optimal performance.

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

The Nurse Utilization-Clinical Analyst conducts telephonic assessments for work-related injuries, providing treatment recommendations and developing relationships with clients and medical providers.

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.

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

The Quality Assurance Supervisor oversees the QA team, ensuring product quality standards are met, conducting audits, and implementing quality improvement processes.

The Fee Schedule Analyst analyzes guidelines and prepares software specifications for medical bill review in Workers' Compensation and No-Fault insurance, providing support and documentation for internal and external customers.

The General Accountant manages daily accounting operations, prepares financial statements, reconciles bank accounts, supports audits, and ensures compliance with regulations.

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.