What are the responsibilities and job description for the Medical Bill Review Manager - Fee Schedule position at Managed Care Network, Inc.?
Company Overview
Managed Care Network, Inc. is an established managed care company committed to being an employer of choice in the Workers’ Compensation and No-Fault marketplace. Guided by our core values, we foster a workplace where employees can thrive, grow, and take pride in the work they do. We value and recognize the expertise, dedication, and passion our team brings every day. By delivering innovative solutions with speed and precision, we help solve complex challenges and make our customers’ jobs easier.
Position Overview
Managed Care Network is seeking a manager to oversee daily Workers Compensation (WC) Fee Schedule operations within its Bill Review Department. This role ensures consistent workflow execution, strong turnaround performance, and high‑quality service delivery in a fast‑paced, high‑volume environment. The Division Lead reports to the Director of Bill Review and plays a key role in operational stability, team performance, and client satisfaction.
Responsibilities
- Oversee daily inventory and workflow management across our proprietary fee schedule system and StrataWare
- Manage queues, priorities, deadlines, and issue escalations
- Lead and develop staff; support additional team contributors
- Monitor productivity, identify gaps, and ensure benchmark performance
- Support accuracy, quality, and compliance across Fee Schedule activities
- Contribute to reporting and provide insights on trends and risks
- Recommend workflow and process improvements
- Serve as a subject matter expert for internal teams and leadership
Qualifications
- Experience managing high‑volume operational workflows and turnaround expectations
- Strong knowledge of NY medical fee schedules and bill review processes
- Experience with other Northeast WC fee schedules and Usual and Customary reviews is desirable
- Proven leadership in a production‑driven environment with escalation management
- Ability to track and improve productivity and performance metrics
- Proficiency in Excel and comfort with operational reporting
- Experience with bill review or claims systems (StrataWare, or similar)
- Strong analytical and communication skills
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: Hybrid remote in Grand Island, NY 14072
Job Type: Full-time
Pay: $60,000.00 - $75,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: Hybrid remote in Grand Island, NY 14072
Salary : $60,000 - $75,000