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Manager, Complex Clinical Review

Machinify
Location
Remote - US
Posted
18 days ago
Department
Clinical & Coding Auditors
Salary
$115,000 - $130,000
What they actually want (must-haves)
  • Current, unrestricted nursing license in good standing
  • 3+ years relevant supervisory or leadership experience in similar business environment
  • 3+ years’ experience performing clinical audits of itemized bills
  • 3+ years’ diverse nursing experience providing direct care in an inpatient or outpatient setting
  • Proven experience with healthcare industry software products and process development
  • Strong project management and interpersonal skills
Nice to have
  • Certified coding certification
  • Experience managing remote staff
  • Proven experience in managing high performing dynamic teams
What the job really is

As the Manager of Complex Clinical Review, you will oversee a remote team of nurses and auditors, ensuring efficient clinical review audits and meeting production expectations. Your role involves managing team performance, analyzing internal processes, coordinating training, and acting as a liaison between operations and client success teams. You will also be responsible for monitoring metrics, conducting performance reviews, and supporting the team in adhering to medical review guidelines.

Benefits
  • Work from anywhere in the US
  • Full Medical/Dental/Vision for employees & their families
  • Flexible and trusting environment
  • Unlimited FTO
  • Competitive salary, equity, 401(k) including employer match
Things to weigh
  • No specific mention of the technology stack used
  • Salary range provided, but compensation is based on multiple factors
  • Role involves managing remote teams, which may require strong self-discipline and communication skills
Job score4/5
Benefits3/5
Freshness4/5
Career value4/5
Role clarity4/5
Pay transparency5/5

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