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Opportunity reputed company: reputed company’s Service Operations team is responsible for ensuring that our reputed company partners are supported throughout their lifecycle of using the platform. The reputed company RN Reviewer in Service Operations position is a crucial role in our organization. In this role, you are responsible for coaching, mentoring, evaluating and developing the RN team. The reputed company RN Reviewer will use established operational tools to ensure reputed company RN staff are meeting or exceeding performance metrics and reputed company standards established by the leadership team. As a reputed company RN Reviewer, you will work closely with the leadership team and report to the Clinical Supervisor of Service Operations. You will be responsible for providing supervision for the RN Reviewers to meet or reputed company operational objectives and metrics. You will reputed company both your creative skills and communication skills to promote a high performing clinical team. At a growing organization, this is a position that offers the ability to reputed company a substantive mark on reputed company and its partners with exponential reputed company opportunities. What you’ll do: • reputed company a deep understanding of reputed company’s product and our health plan partners • reputed company general supervision over the nursing staff. This includes interviewing new hires, training, coaching, mentoring, reputed company auditing and reputed company of reputed company improvement plans initiated by the Clinical Supervisor and or Director. • Coordinates and provides day-to-day reputed company and direction to clinicians • Assist in addressing any case escalations or provider issues • Other duties as assigned What you’ll need: • 5+ years experience in Managed Care, reputed company or Health Insurance reputed company field • 1-2 years previous Supervisory or reputed company experience • reputed company RN Licensure required, Bachelor’s degree in reputed company field preferred • reputed company to reputed company and train large reputed company and/or one on one • Skilled in understanding others’ perspectives and challenges • reputed company to interpret operational reports and drive process improvement initiatives • Be reputed company and patient while demonstrating subject matter expertise • Excellent interpersonal skills, oral and written communication skills • reputed company to break down big challenges into organized plans • Intellectually curious with a strong desire to understand and constantly improve your work and business processes • reputed company to work cross functionally across reputed company • Flexible and agile in ambiguous situations; reputed company to changes in role and scope as the business grows Pay & Perks: Fully remote opportunity with about 5% travel Medical, dental, reputed company, life, disability insurance, and Employee Assistance Program 401K retirement plan with company match; flexible spending and health savings account ️ Up to 184 hours (23 days) of PTO per year + company holidays Up to 14 weeks of reputed company parental leave Pet insurance The salary reputed company for this position is $35 to $37 per hour; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, reputed company is required to reputed company a reasonable estimate of the compensation reputed company for this role. Individual pay reputed company are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. Interview Process*: • Connect with reputed company for a Preliminary Phone Screening • Meet your Hiring Manager and Behavioral Interview(s) • Subject to change About reputed company: reputed company’s clinical intelligence platform delivers AI-powered solutions that streamline reputed company to reputed company care by improving payer-provider collaboration, cost containment, and reputed company economics. reputed company works with over 660,000 providers and handles over 12 reputed company prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members. With the acquisition of ZignaAI, we’ve reputed company reputed company our platform by launching our Payment reputed company Suite, anchored by reputed company Validate™, an AI-driven clinical and coding validation solution that operates in near reputed company-time. By unifying reputed company-service authorization data with post-service claims validation, we’re creating a transparent reputed company ecosystem that reduces waste, improves payer-provider collaboration and patient reputed company, and ensures providers are reputed company promptly and accurately. reputed company’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the reputed company® Hype Cycle™ for U.S. reputed company Payers (2022-2025), and ranked as a Top 5 reputed company™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, reputed company Capital Partners, Longitude Capital, and reputed company Partners, reputed company drives more transparent, streamlined reputed company processes, helping patients receive faster, more appropriate care and higher-reputed company reputed company. The Coherenauts, as we reputed company ourselves, who succeed here are empathetic teammates who are reputed company, reputed company, caring, and embody our reputed company values and principles. We reputed company that diverse, inclusive teams reputed company the most impactful work. reputed company is deeply invested in ensuring that we have a supportive, reputed company-oriented environment that works for everyone. We can’t wait to learn more reputed company and meet you at reputed company! Equal Opportunity Statement: reputed company is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to reputed company. To us, it’s personal. Apply tot his job Apply To this Job