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← Broadway Ventures

Senior Medical Reviewer

Broadway Ventures
Location
United States
Posted
18 days ago
Department
Medical Services
Salary
$68,000 – 70,000
What they actually want (must-haves)
  • Active, unrestricted, and unencumbered RN license (single-state or compact multistate)
  • ADN or accredited nursing degree (BSN preferred)
  • 5+ years of nursing experience, including 2+ years in Medicare medical review or utilization review
  • Strong documentation and independent decision-making skills
  • Must reside and work from within the U.S., D.C., or a U.S. territory
  • Private, secure home workspace meeting CMS security requirements
Nice to have
  • Direct home health RCD or comparable MAC medical review experience
  • Existing familiarity with home health pre-claim review documentation
  • Prior MAC, RCD, or CMS program integrity experience across multiple jurisdictions
What the job really is

The Senior Medical Reviewer at Broadway Ventures will supervise a team of approximately 20 RN Medical Reviewers, managing daily case assignments and ensuring compliance with CMS and client security requirements. Responsibilities include monitoring case turnaround times, addressing provider concerns, conducting audits, and mentoring new team members.

Benefits
  • 401(k) and company match
  • PTO that grows the longer you stay
  • Health, Vision, Dental
  • Company provided Life Insurance and Voluntary Life Insurance
  • Short Term Disability and Long Term Disability
Things to weigh
  • Compensation range is relatively narrow and may not reflect all factors influencing final pay
  • Position is contingent upon contract award, which may affect job security
  • RN license will be verified prior to assignment and monthly thereafter, adding ongoing compliance pressure
Job score4/5
Benefits3/5
Freshness4/5
Career value4/5
Role clarity4/5
Pay transparency5/5

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