The Clinician Reviewer conducts independent, evidence-based medical necessity reviews for appeals involving Long-Term Services and Supports, Personal Assistance Services, and In-Home Supportive Services. They are responsible for rendering clinically sound, regulation-compliant determinations based on functional assessments and care plans.
Review case files and medical necessity criteria to render objective clinical determinations based on current standards of care. Draft clear, concise rationales and provide structured feedback to improve the AI-assisted review platform.
The Corporate Financial Controller will manage all accounting operations, including general ledger, financial reporting, and month-end close processes. They will also establish internal controls, oversee financial modeling, and provide strategic financial analysis to the leadership team.
You will lead the development and execution of RediMinds' federal healthcare growth strategy, focusing on building a robust pipeline and securing major technology contracts. This involves establishing strategic partnerships, shaping procurement opportunities, and building a repeatable federal business engine from the ground up.
