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The Medical Review Manager oversees the accurate processing of claims that have been deferred for medical necessity review, ensuring compliance with nationally recognized standards, and local, state, and federal laws and regulations, and identifies and implements process improvement opportunities. Medical Reviewer Job Description Medical reviewers work in hospitals, physician offices, nursing homes, and independent auditing firms. They review or audit …

this candidate will be responsible for all aspects of software development in our data access layer, our database systems, and our data transformation software module.