Jobs at MedRisk

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.

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

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

The Revenue Analyst facilitates timely receipt of revenue by addressing billing issues, analyzing trends, documenting workflows, and improving collection rates while ensuring HIPAA compliance.

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.