Payment Integrity Product Development Specialist
MedReview Inc.New York, New York, United States
Posted May 5, 2026
Full Time
About the Company
MedReview is a leading authority in payment integrity solutions, bringing accuracy, accountability, and clinical excellence to healthcare.
Job Description
The Payment Integrity Product Development Specialist supports the development and launch of our SNF Payment Integrity audit product, translating clinical and regulatory expertise into scalable audit methodologies and workflows.
Requirements
- 5-10+ years of experience in Skilled Nursing Facility clinical operations, utilization management, payment integrity or audit programs
- Strong understanding of CMS SNF regulations, PDPM, MDS/RAI, therapy documentation and medical necessity criteria
- Experience developing or executing clinical audit programs for Medicaid, Medicare and/or commercial payors
- Familiarity with claims data, coding standards and documentation requirements
- Ability to translate complex clinical and regulatory concepts into clear operational and product requirements
- Strong communication, analytical and data comprehension skills
