Teams at MedRisk

Leads business requirements analysis and product management for PPO healthcare products. Translates stakeholder needs into business requirements, functional specifications, product roadmaps, and release priorities. Coordinates with development, QA, compliance, vendors, and clients on integrations, implementations, testing, regulatory requirements, and issue resolution. Provides analytical support, facilitates project meetings, manages product quality and delivery, and serves as a PPO domain expert.

Leads large-scale workers’ compensation bill review operations, overseeing service delivery, client satisfaction, workforce planning, process optimization, budgets, and business growth. Manages multiple leadership layers and operational teams while establishing performance goals, monitoring service metrics, driving automation and AI initiatives, and partnering with technology, product, quality, compliance, sales, and clients. Requires extensive healthcare, claims, payment integrity, or medical bill review leadership experience.

Reviews and processes bills for accuracy, completeness, and compliance with applicable billing guidelines. The role likely identifies discrepancies, validates charges, and supports timely resolution of billing issues. Specific responsibilities and qualifications were not provided in the job description.