MEDICAL REVIEW SERVICES COORDINATOR - REMOTE

About iMPROve Health Come join the iMPROve Health team! iMPROve Health is Michigan’s Medicare-designated Quality Improvement Organization, and we’re proud to be recognized as both a Cool Place to Work by Crain’s Detroit Business (four years running) and one of Modern Healthcare’s Best Places to Work in Healthcare. As a nonprofit with more than 40 years of experience, we’re dedicated to improving healthcare across the continuum of care using evidence-based, data-driven strategies. We provide medical consulting and review services, along with data analysis, to federal agencies, state Medicaid programs, public health organizations, healthcare facilities, private health plans, and other third-party payers. Our team also specializes in impartial utilization review, dispute resolution, and peer review. Our mission is simple: help healthcare get better. This position is 100% remote, offering the flexibility to work from anywhere in the United States while collaborating with a supportive, nationwide team. We prioritize work/life balance and invest in our employees’ growth through professional development and continuing education opportunities. Our benefit package includes medical, dental, vision, life insurance, short- and long-term disability, and a generous 401(k) match. At iMPROve Health, we are committed to improving the quality, safety, and efficiency of healthcare. While we do not provide direct patient care, our healthcare professionals—including physicians, nurses, and experienced consultants—partner with providers to promote the use of evidence-based best practices. We offer our clients a trusted, impartial resource that understands the complexities of the healthcare landscape and is dedicated to thoughtful, high-quality solutions. Join us in making a meaningful impact on healthcare—one improvement at a time. iMPROve Health is seeking a detail-oriented and tech-savvy Medical Review Services Coordinator to manage and support a network of over 300 independently contracted reviewers. This role combines peer reviewer recruitment, onboarding, technology assistance, and credentialing duties, ensuring reviewers have the guidance, tools, and support needed to deliver accurate, timely medical reviews. Key Responsibilities: Peer Reviewer Support & Onboarding

• Recruit, pre-screen/interview, and onboard physicians and allied health specialists.
• Developing and providing training and orientation to reviewers once credentialing is complete, including guidance on systems, workflows, and expectations.
• Serve as the primary point of contact for reviewers, building strong professional relationships and maintaining open communication.
• Provide ongoing technical support for case management and credentialing systems, troubleshooting access or workflow issues, and coordinating with IT as needed.
• Monitor reviewer performance metrics (timeliness, quality, compliance) and provide coaching or guidance as necessary.
• Coordinate reviews between iMPROve staff and 1099 reviewers to ensure smooth workflow and timely completion.

Credentialing & Compliance

• Assist and manage all aspects of the credentialing lifecycle: initial, recredentialing, expedited, and ongoing monitoring of physician and allied health reviewers in compliance with URAC, state, and internal requirements.
• Verify and maintain reviewer credentials (licensure, board certification, malpractice history, work history, disciplinary actions) and ensure timely renewals.
• Maintain and update credentialing databases, tracking systems, and reviewer files for committee review, ensuring documentation accuracy and completeness.
• Coordinate and document credentialing committee meetings and related activities.
• Prepare for and participate in URAC accreditation visits.

Technology & Reporting

• Use MDStaff, Excel, PowerPoint, and other database/case management tools to track reviewer activity, generate reports, and optimize workflows.
• Identify and implement technology-driven process improvements to enhance reviewer experience and operational efficiency.

Qualifications & Skills:

• Associate degree in healthcare, healthcare administration, or related field.
• Knowledge of medical terminology, credentials, and specialty areas.
• Experience in medical recruitment, onboarding, or staffing preferred.
• Experience in credentialing is a plus, but not required as the primary focus.
• Strong attention to detail, organization, and problem-solving skills.
• Excellent communication and interpersonal skills; ability to build relationships with reviewers and staff.
• Customer service-oriented, professional, and proactive in problem-solving.
• Proficiency with technology to manage reviewer data, troubleshoot issues, and generate reports.
• Must be able to work M-F normal business hours in EST.
• *All work must be performed within the United States.

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