Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.
Review of Health, • Pharmacy and • Workers Compensation claims. • State and Federal level External Review • Nurse Review
6 days ago
A Pharmacy Entry Analyst screens and processes pharmacy review requests at MRIoA, ensuring quality outcomes.
6 days ago
Join MRIoA as a Pharmacy Analyst, managing pharmacy review requests and ensuring timely notifications.
March 28
Join MRIoA as a Physician Reviewer to evaluate clinical requests and ensure timely determinations.
March 28
Transform utilization reviews as a Physician Medical Director at MRIoA. Ensure accurate clinical determinations using your expertise.
March 25
Cloud Security Analyst responsible for managing security measures in a hybrid IT landscape at MRIoA.
February 11
Business Process Analyst needed as a Product Owner for leading healthcare technology solutions company. Must have strong analytical and communication skills.
February 7
Lead financial planning and analysis at MRIoA to enhance overall financial performance and drive strategy.
February 7
As VP of Sales at MRIoA, grow PBM sales over 15% annually through strategic relationships.
February 7
Join MRIoA as a Business Process Analyst, enhancing healthcare technology solutions through strategic insights.
Remote Jobs at Medical Review Institute of America, LLC