
201 - 500 employees
🏥 Healthcare
⚕️ Healthcare Insurance
💸 Finance
Healthcare • Healthcare Insurance • Finance
MedReview Inc. is a leading provider of advanced payment integrity solutions, specializing in healthcare claims. They work with a wide range of clients, including health plans, government agencies, and payors, to reduce unnecessary waste and save billions of dollars. Their team of highly trained physicians, registered nurses, and certified coders conduct thorough clinical and coding reviews to identify inaccuracies in healthcare claims. MedReview employs proprietary algorithms to analyze complex data and detect suspicious payment trends, offering a unique blend of clinical expertise and advanced technology to maximize efficiencies and improve healthcare cost management.
🔥 9 minutes ago
Where this job comes from
Posted on MedReview Inc.'s careers page, not through a job board
First seen by Remote Rocketship 9 minutes ago

201 - 500 employees
🏥 Healthcare
⚕️ Healthcare Insurance
💸 Finance
Healthcare • Healthcare Insurance • Finance
MedReview Inc. is a leading provider of advanced payment integrity solutions, specializing in healthcare claims. They work with a wide range of clients, including health plans, government agencies, and payors, to reduce unnecessary waste and save billions of dollars. Their team of highly trained physicians, registered nurses, and certified coders conduct thorough clinical and coding reviews to identify inaccuracies in healthcare claims. MedReview employs proprietary algorithms to analyze complex data and detect suspicious payment trends, offering a unique blend of clinical expertise and advanced technology to maximize efficiencies and improve healthcare cost management.
• Build and lead MedReview’s Account Management function and high-performing team • Establish roles, coverage models, service standards, performance expectations, processes, tools, meeting cadences, and documentation standards • Coach Account Managers on strategic relationship management, executive communication, issue resolution, and commercial growth • Oversee MedReview’s largest and most strategic client relationships, including national health plan accounts • Develop and execute client strategies supporting retention, satisfaction, and long-term growth • Lead internal portfolio reviews and ensure effective client-facing business reviews • Serve as the senior escalation point for client issues, service concerns, and relationship risks • Identify cross-sell, upsell, new-solution, and new-client acquisition opportunities • Develop retention plans and track account health, growth, retention, satisfaction, profitability, opportunity conversion, and team KPIs • Own adherence to client SLAs and coordinate service, claims aging, recovery, payment, and revenue-related issues • Partner with Operations, Business Development, Product, Finance, and implementation teams to improve delivery and client outcomes • Support implementation and transition of new clients, products, and services • Bring client feedback, market intelligence, and emerging needs into internal planning • Recommend enterprise-level improvements and champion a consultative, outcomes-focused approach
• Bachelor’s degree required; advanced degree preferred • 12+ years of progressive experience in healthcare Account Management, client success, payment integrity, managed care, revenue cycle, healthcare technology, or a related field, including significant leadership experience • Proven success retaining and expanding large, complex healthcare accounts • Experience building or significantly improving an Account Management or client success function • Strong knowledge of healthcare payment integrity, claims operations, payer-provider dynamics, reimbursement methodologies, and service delivery • Demonstrated ability to manage executive client relationships, negotiate effectively, and resolve complex issues • Experience developing account plans, leading business reviews, managing client health metrics, and driving cross-sell and upsell activity • Polished, articulate communicator with strong executive presence and sound judgment • Ability to work effectively across a matrixed organization and hold teams accountable without direct authority • Experience supporting national health plans and large, complex payer organizations preferred • Experience with technology, SaaS, or data-enabled healthcare solutions preferred
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