Content Review Manager at Rainmakers Strategic Solutions, LLC | Torre
You'll shape critical federal healthcare policy by ensuring accuracy and compliance in Medicare content.
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Full-time

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Emma of Torre.ai
9 days ago

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Project DescriptionIt’s an exciting time to be joining a rapidly growing small business! Rainmakers Strategic Solutions, LLC, a certified SBA 8(a) and Economically Disadvantaged Women-Owned Small Business (EDWOSB), is looking to expand capabilities in the government healthcare space to support an expanding portfolio of federal healthcare clients. We are seeking a dynamic Content Review Manager to assist with client projects.We are looking for a Content Review Manager to serves as the subject matter expert (SME) for all products in the Medicare Learning Network (MLN) catalog including publications, web-based training (WBTs), and articles. CRMs review each product to ensure accuracy, completeness, and compliance by leveraging federal guidelines such as the Social Security Act, federal laws, and federal manuals.Key ResponsibilitiesServes as the Medicare SME, responsible for creating and updating MLN products using federal research sourcesMaintains current knowledge of Medicare policies, payment regulations, and industry trends to ensure informed decision-making and product relevancePresents updates on policy changes during weekly Content Review Meetings, sharing critical information with the teamIncorporates new policy into products to guarantee they meet SOW requirementsEnsures accuracy, consistency, and compliance across all productsEffectively prioritizes tasks to uphold quality standards and timeline expectationsProposes recommendations for product updates and responses to CMS feedback or inquiriesMentors new or inexperienced project staffFosters a positive team culture and maintains strong working relationships across the organization and with clientsAssists in developing internal standard operating proceduresSupports business development activities, proposal development, and capture efforts as requestedEducationMust have a bachelor’s degreeMust have 5–10 years relevant professional experience demonstrating SME qualities such as research, analysis, and information application, coupled with the in-depth knowledge of Medicare provider practices, Medicare benefits, Current Procedural Terminology (CPT) codes, Healthcare Common Procedure Coding System (HCPCS) codes, claims processing, and issues related to fraud and abuseExperience reviewing new and updated National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), the Federal Register, legislative changes, Medicare online manuals, and other research sourcesYears of Experience• Minimum of 5-10 years working experience.Special SkillsExceptional verbal and written communication skillsProficient in writing in active voice and translating complex policy into plain languageSelf-motivated and capable of working independentlyDetail-oriented with strong organizational and planning skillsSkilled at building effective working relationships, fostering collaboration and teamworkExcellent customer service skillsProficient in Microsoft Office Suite, Teams, and SharePointSolid understanding of the production process, facilitating effective workflow managementAdept at multitasking and managing multiple assignments with competing deadlines
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