Medical Reviewer

• Subcontractor will submit a monthly summary report to the Contractor program managers.
• Summary of staffing by all positions. This would include how many staff are working on the subcontract, how many positions are being recruited and a summary of recruiting efforts, upcoming changes to staffing levels.
• Brief financial update including current subcontract spend compared to total amount on subcontract, any updates to planned spend rate, and other financial information that has the potential to impact subcontract.
• Any necessary updates specific to staff that would help Contractor plan for the coming weeks / months.
• Subcontractor leadership will schedule and conduct a “state of the state” meeting with the Contractor Program Managers, Medical Review leadership team, and Contractor’s small business liaison to discuss how current efforts are going and if any changes need to occur to ensure long term goal are achieved.

DME Medical Reviewer

Clinical Reviewer, Nurse – Medical Oncology

Clinical Reviewer, Nurse Practitioner/Physician Assistant – Interventional Cardiology

Medical Reviewer II

RN – Medical Claims Reviewer