Broadway Ventures Jobs in United States

We are seeking experienced physicians to conduct independent case reviews for the Department of Veterans Affairs (VA). This role involves evaluating medical cases to assess quality of care, adherence to standards, and opportunities for improvement. · Conduct objective medical cas ...

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. · Review medically complex claims and pre-authorization requests. · Evaluate medical necessity and appropriateness for coverage and reimbursement. · Provide clear rationales for service approvals or ...

Medical Claims Reviewer · Broadway Ventures is seeking an experienced Registered Nurse (RN) for a remote Medical Claims Reviewer role. · Conduct medical reviews for Durable Medical Equipment (DME) claims using established guidelines. · Determine medical necessity and document dec ...

The RN Senior Medical Reviewer provides advanced medical review expertise and supports oversight of the medical review process, focusing on complex services and quality assurance. · ...

Job Responsibilities · Performs medical claim reviews for one or more of the following: claims for medically complex services, services that require preauthorization/predetermination, requests for appeal or reconsideration, referrals for potential fraud and/or abuse, and correct ...

The RN Senior Medical Reviewer provides advanced medical review expertise and supports oversight of the medical review process. · Bachelor of Science in Nursing (BSN) · Current, active, unencumbered Registered Nurse license in the United States · Certified Coder credentials requi ...

We are seeking an experienced Certified Coder to support medical review activities through complex coding validations and quality assurance efforts.This role requires deep expertise in Medicare coding guidelines, DRG validation, and CMS FFS RAC Program requirements. · ...

We are seeking an experienced Program Manager to oversee daily operations for the CMS Review and Validation Contractor (RVC) Program. · ...

This is a Work-from-home position. Performs medical claim reviews for one or more of the following: claims for medically complex services · services that require preauthorization/predetermination, · requests for appeal or reconsideration, · referrals for potential fraud and/or ab ...

At Broadway Ventures we transform challenges into opportunities with expert program management cutting-edge technology and innovative consulting solutions. We are seeking experienced and detail-oriented Provider Enrollment Analysts to support the enrollment process by reviewing r ...

We are seeking an experienced CMS Proposal Writer to support the development of high-quality responses to federal RFPs with a strong focus on Centers for Medicare & Medicaid Services and Medicare programs. · ...

We are seeking an experienced Certified Coder to support medical review activities through complex coding validations and quality assurance efforts. · Responsibilities · Perform complex coding validations for accuracy reviews, disputes/disagreements, special studies, and review t ...

We're looking for Customer Support Specialists who are great with people, detail-oriented, and comfortable learning new tools. · Provide friendly, helpful phone and email support to customers using our system · ,Track and manage customer service requests using our internal tools ...

The Medical Review (MR) Manager oversees all medical review activities and quality assurance functions for the CMS Review and Validation Contractor (RVC) program. · Minimum of 5 years of medical review experience. · ...

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. · Review medically complex claims, pre-authorization reque ...

We transform challenges into opportunities with expert program management,cutting-edge technology,and innovative consulting solutions. · Performs medical claim reviews for one or more of the following:claims for medically complex services,services that require preauthorization/pr ...

We are seeking an experienced Certified Coder to support medical review activities through complex coding validations and quality assurance efforts. · Perform complex coding validations for accuracy reviews · Contribute documentation and analysis for coding validation deliverable ...

The Medical Director serves as the senior clinical authority for the CMS Review and Validation Contractor (RVC) program. This role provides leadership and oversight for all medical review functions, ensuring compliance, clinical accuracy, · and alignment with Medicare coverage an ...

Job Description · Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. · We are seeking a Remote Medical Appeals Nurse (RN) to join our growing team. · Conduct first-level appeal r ...

We are a company that transforms challenges into opportunities through program management and consulting solutions. · What You’ll Be Doing · Provide support to customers using our system · Track customer requests · ...