reputed company RN Reviewer, reputed company

Opportunity: The Service Operations team is responsible for ensuring that our partners are supported throughout their lifecycle of using the platform. The 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 RN Reviewer will use established operational tools to ensure RN staff are meeting or exceeding performance metrics and standards established by the leadership team.

As an 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 operational objectives and metrics. You will use 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 make a substantive mark on the company and its partners with exponential opportunities.

What you’ll do:

• Develop a deep understanding of the company’s product and our health plan partners.
• Provide general supervision over the nursing staff, including interviewing new hires, training, coaching, mentoring, auditing and implementation of improvement plans initiated by the Clinical Supervisor and/or Director.
• Coordinate and provide day-to-day guidance and direction to clinicians.
• Assist in addressing any case escalations or provider issues.
• Other duties as assigned.

What you’ll need:

• 5+ years in healthcare, managed care, or insurance roles.
• 1–2 years in a supervisory role, with experience coaching or training others.
• A valid RN license (BSN preferred).
• Comfort interpreting operational data and metrics to identify process improvements.
• Excellent communication, collaboration, and organizational skills.
• A patient and flexible leadership style suited for a remote, fast-paced environment.

Pay & Perks:

• Fully remote opportunity with about 5% travel.
• Medical, dental, 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 paid parental leave.
• Pet insurance.
• The salary range for this position is $35 to $37 per hour; as part of a total benefits package which includes health insurance, 401k and bonus.

Interview Process:

• Preliminary Phone Screening.
• Internet Speed Test.
• Take Home Assignment.
• Meet your Hiring Manager!

About the Company:

The clinical intelligence platform delivers AI-powered solutions that streamline care by improving payer-provider collaboration, cost containment, and economic efficiency. The company works with over 660,000 providers and handles over 12 million 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, the platform has been enhanced by launching the Payment Suite, anchored by Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, the company is creating a transparent ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are reimbursed promptly and accurately.

The company’s innovations continue to receive industry-wide recognition. It has been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 Healthcare Startup for 2023 & 2024. Backed by leading investors, the company drives more transparent, streamlined processes, helping patients receive faster, more appropriate care and higher-quality outcomes.