Career Opportunities

MRIoA is a growing company that provides an exceptional, positive work environment. We are committed to our employees and seek talented, highly motivated individuals. Employees of MRIoA can expect a career which is both challenging and rewarding. At MRIoA, your individual performance contributes to our success and each employee is appreciated and valued for the skills, ideas and experience they bring to their position. We offer a generous compensation package including competitive wages dependent on experience and a comprehensive benefits package.

Current career opportunities:

Employment at MRIoA is based on individual merit, qualifications, and competence. We are an equal opportunity employer.  We do not discriminate in our employment practices based on an applicant's or an employee's race, color, religion, gender, sexual orientation, physical or mental handicaps, ancestry, national origin, age, disability, veteran status or any other category protected by law. This policy governs all aspects of employment, including recruitment, advertising, promotion or transfer, rates of pay or other forms of compensation, selection for training, maintenance of facilities for employees, and all other actions affecting employees.

Current career opportunities updated 7/24//2017:

CASE ASSIGNMENT ANALYST

Position: Full-time
Description: This position is responsible for initiating the case review process, preparing a high quality, completed packet of appropriate case review information and materials for submission to the panel reviewers and assigning the file to the appropriate specialist for the review as well as serving as the company liaison with clients, reviewers and practitioners/providers.
Education requirement: High school diploma or equivalent with a preference for a Bachelors degree preferably in business or health care.
Experience: Minimum one years experience in a similar operation (health care, managed care environment or utilization management).
Required skills - A qualified candidate will demonstrate the following skills:
  • Strong working knowledge of basic anatomy, physiology and medical terminology and/or processes.
  • Ability to work under pressure and meet deadlines while managing multiple high priorities
  • Exceptional customer service skills
  • Strong organization skills and attention to detail
  • Excellent oral and written communication skills
  • Ability to work independently with minimal supervision
  • Personal computer literacy and high competency in the use of Microsoft Word
Start date: Immediate, flexible

Apply: Submit cover letter indicating position of interest and salary requirements with resume to Joel.Dunn@mrioa.com


CASE FULFILLMENT ANALYST

Position: Full-time
Description: This position is responsible for finalizing the case review process, issuing review outcome notifications to appropriate parties of the case, and serving as a company liaison with clients, reviewers and practitioners/providers/facilities whose services are subject to review.
Education requirement: High school diploma or equivalent with a preference for a Bachelors degree preferably in business or health care.
Experience: Minimum three years experience in a similar operation (health care, managed care environment, utilization management, or medical insurance claims and/or appeals); coding experience strongly preferred but not required.
Required skills - A qualified candidate will demonstrate the following skills:
  • Strong working knowledge of basic anatomy and physiology and medical terminology
  • Strong working knowledge of medical insurance terminology and/or processes
  • Excellent critical thinking capabilities with a strong attention to detail
  • Excellent oral and written communication skills
  • Ability to work under pressure and meet deadlines while managing multiple high priorities
  • Exceptional customer service skills
  • Ability to work independently with minimal supervision
  • Computer literacy with high competency in Microsoft Word
Start date: Immediate, flexible

Apply: Submit cover letter indicating position of interest and salary requirements with resume to Joel.Dunn@mrioa.com


PHARMACY ANALYST

Position: Full-time
Description: This position is responsible to screen incoming pharmacy review requests, prepare, organize, distribute and present records, materials and forms required for a complete pharmacy case review packet for Reviewers and identify appropriate Reviewers for pharmacy case review. Contact clients to resolve questions, obtain information, records and/or materials needed for a pharmacy case review and resolve issues about active cases. Respond to Reviewers requests for additional information/materials necessary for a review and notify clients and other internal departments of these needs, as applicable. Respond to inquiries from clients, other entities referring pharmacy cases for review and practitioners/providers/facilities. Evaluate opinions submitted by Reviewers upon conclusion of their reviews for compliance with company standards for completeness.
Education requirement: High school diploma or equivalent with a preference for a Bachelors degree preferably in business or health care. Pharmacy Technician preferable.
Experience: Minimum of two years pharmacy experience strongly preferred. Minimum of two years in a similar operation preferred (health insurance, healthcare and/or managed care arena).
Required skills - A qualified candidate will demonstrate the following skills:
  • Strong working knowledge of basic anatomy and physiology and medical terminology
  • Strong working knowledge of medical insurance terminology and/or processes
  • Excellent critical thinking capabilities with a strong attention to detail
  • Excellent oral and written communication skills
  • Ability to work under pressure and meet deadlines while managing multiple high priorities
  • Exceptional customer service skills
  • Ability to work independently with minimal supervision
  • Computer literacy with high competency in Microsoft Word and Microsoft Excel
  • Ability to manage multiple Queues while managing deadlines and multiple high priorities
Start date: Immediate, flexible

Apply: Submit cover letter indicating position of interest and salary requirements with resume to Joel.Dunn@mrioa.com


PHARMACY TECHNICIAN (Non-Retail) Salt Lake City, UT

Medical Review Institute of America (MRIoA) provides medication prior authorization review services for medical / healthcare insurance companies and PBMs (Pharmacy Benefit Managers) across the United States. Our pharmacy techs and pharmacists approve or deny initial medication authorization requests on behalf of healthcare insurance plans.

Pharmacy Technician (Non-Retail) Responsibilities:

  • Review plan and medication-specific guidelines
  • Determine whether plan criteria is met
  • Analyze pharmacy rejections to determine if authorization is needed
  • Enter appropriate overrides for claim adjudication
  • Correspond with MDs when additional information is needed
  • Generate authorization notification letters to be sent to physicians, pharmacies, and patients
  • Collaborate with pharmacists for review determination

 Pharmacy Technician (Non-Retail) Requirements

  • Pharmacy technician license (active Utah state, national, or both)
  • High school diploma or equivalent
  • Knowledge of medical/medication terminology and application
  • Applicable experience in pharmacy, health insurance, or similar
  • Critical thinking capabilities with attention to detail
  • Ability to learn new processes
  • Ability to work independently and with others with moderate supervision
  • Computer literacy (Microsoft Word), and strong typing ability
  • Ability to work under pressure and manage priorities and deadlines

 Pharmacy Technician (Non-Retail) Preferred but not required:

  • Bachelors degree in related field
  • Knowledge of insurance terminology
  • Experience with prior authorizations
  • Experience working pharmacy retail

 Pharmacy Technician (Non-Retail) Benefits:

  • Competitive wages
  • Amazing health benefits
  • Generous 401K retirement plan match
  • Profit sharing
  • Holiday, PTO, and Vacation accruals
  • Strong potential for career and personal growth
  • Employee appreciation activities and programs
  • Employer-sponsored opportunities for charitable contributions

Apply: Submit cover letter indicating position of interest and salary requirements with resume to Joel.Dunn@mrioa.com

 

Registered Nurse / RN (Medical Review) Salt Lake City, UT

Medical Review Institute of America (MRIoA) provides prior authorization review services to insurance companies across the United States. We send these cases to hundreds of practicing physicians throughout the country (Reviewers) to provide an independent medical opinion for the insurance companies.

We are growing and have a need for an additional full-time Registered Nurse to work collaboratively with physicians as a medical review, quality assurance professional as well as assisting with case processing and compliance. This individual should be self-directed, assertive and creative in problem solving.

Registered Nurse / RN (Medical Review) Qualifications

  •  Current and unrestricted Registered Nurse / RN License in any U.S State
  • Minimum of 3 years clinical experience in an acute care setting
  • Minimum of 3 years experience in utilization review, utilization management, or quality improvement processes. A demonstrated ability to utilize and apply the general and specialized principles, techniques and methods of utilization review and management
  • Excellent verbal and written communication, analytical and interpersonal skills
  • Excellent problem identification/problem solving and follow through skills
  • Ability to organize and prioritize multiple assignments within the assigned workload
  • Ability to function both independently and take independent action within the scope of the job responsibilities as well as work collaboratively with interdepartmental teams
  • Solid computer skills with word processing, spreadsheets and custom programs
  • Local to the area

 Registered Nurse / RN (Medical Review) Preferred:

  •  Knowledge of industry-recognized national guidelines
  • Experience in working with established guideline criteria to decide issues of medical necessity, experimental/investigational, utilization review, quality of care/peer review, disability, level of care/length of stay and billing/coding

Registered Nurse / RN (Medical Review) Benefits:

  • Our Medical plan has a $500 deductible and can cost as little as $22 a paycheck.
  • Generous 401k match
  • Profit Sharing
  • Paid holidays
  • Staff development and continuing education opportunities
  • Paid required licensing maintenance.

Apply: Submit cover letter indicating position of interest and salary requirements with resume to Joel.Dunn@mrioa.com

 


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