Medical Review Manager

This position is contingent upon the successful award of the associated contract.

Employment is not guaranteed until the contract is awarded, and the position is officially activated.

Job responsibilities and requirements are subject to change.

About J29 :

• J29, Inc. has been supporting commercial, State, and Federal health and human service programs since company inception in 2017.
• Our team of 240 employees focuses on providing claim, policy, and clinical analysis on end-to-end medical cases, disputes, appeals, and audits.
• Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.
• J29 was founded to be an employee-centric company that prioritizes the well-being and value of its employees.
• Our mission is to empower our employees to do great things for the benefit of those that needs us most.
• The J29 mission supports not only our health and human service programs, but also the philanthropy efforts of our team.
• We are proud to continue our support to non-profit groups with critical missions as J29 continues to grow.

General Description :

The MR Manager shall be  available between 8 :

The MR Manager shall have extensive knowledge of the Medicare program and working knowledge of the program requirements and activities.  Primary Duties Include but are not limited to :

These tasks mentioned are not administrative and so non-medical personnel cannot be substituted for the MR Manager to oversee or perform any of the tasks that involve medical review.  Work Experience :

An associate’s degree in nursing is acceptable.  Job type :