Medical Director – Physician Reviewer
MedReview Inc.
Clinical Director
EvidenceCare
full-time
Posted on:
Location: Tennessee • 🇺🇸 United States
Visit company websiteJob Level
Lead
About the role
- Provide clinically driven subject matter expertise focused on the AdmissionCare product
- Partner with Client Success Executives, Implementation, and Analytics to support pre-go-live, on-site go-lives, training, monthly meetings, QBRs, and ad-hoc touch points
- Assist in development and maintenance of training initiatives and assess user proficiency with AdmissionCare
- Produce reports and KPIs using EvidenceCare’s BI tool and translate analytics into client-focused narratives
- Participate in implementation projects, support clients during integration, and travel to client sites for go-lives
- Proactively identify opportunities for client education, process improvement, and workflow efficiencies within AdmissionCare
- Serve as clinical and product subject matter expert (SME) and contribute to playbooks, templates, and tools
- Collaborate across EvidenceCare verticals while maintaining regulatory and clinical best practices
- Maintain awareness of healthcare environment, clinical information systems, evidence-based practice, leadership and informatics trends
Requirements
- Minimum of three years of clinical experience (acute care)
- Minimum of three years of revenue cycle experience (UR, UM, appeals)
- Active RN License (Individual or Multi-State)
- Bachelor’s Degree required; master's degree preferred (nursing, business, or other clinical disciplines)
- Experience with InterQual/MCG to complete medical necessity reviews and/or ensure compliance with regulatory and payer requirements
- Proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint, Visio)
- Skilled in utilizing business intelligence platforms for data analysis and reporting
- Experienced in public speaking and stakeholder engagement
- Strong critical thinking skills and ability to decipher and trend data
- Ability to work autonomously and prioritize workload effectively
- Strong commitment to the values of the organization: Grit, Innovation, Integrity, Respect, Teamwork and Fun
- Ability to work 3 days a week in-office (Nashville-based)
- Willingness to travel up to 50%
