Medical Review Manager – CMS Medicare (RVC)

Broadway Ventures(2 months ago)

United StatesOnsiteFull TimeSenior$114,571 - $155,643 (estimated)Healthcare,

About this role

Broadway Ventures is seeking a Medical Review Manager to oversee medical review activities for Medicare claims, ensure quality assurance, and provide clinical expertise in compliance with CMS policies. The role involves managing staff, applying clinical judgment, and maintaining communication with CMS and internal teams.

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Required Skills

Medicare
Clinical Judgment
Quality Assurance
Regulatory Compliance
Medical Review
CMS Policies
Audit
Team Leadership
Policy Interpretation
Healthcare

Qualifications

Bachelor's Degree in Nursing
Registered Nurse (RN)

About Broadway Ventures

broadwayventures.net

Broadway Ventures is an early-stage venture capital firm that partners with founders to build and scale technology-driven companies. The firm typically invests at seed and Series A, offering capital along with hands-on operational support in product, go-to-market, and talent. Broadway focuses on sectors like fintech, healthcare, marketplaces, and developer tools, leveraging a network of operators and investors to accelerate growth. They position themselves as long-term partners, helping portfolio companies through follow-on funding and strategic introductions.

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