Define MVP scope, roadmap enhancements and implementation readiness. * Apply deep knowledge of CMS ... Experience developing or executing clinical audit programs for Medicaid, Medicare and/or commercial ...
Quick apply
Define MVP scope, roadmap enhancements and implementation readiness. * Apply deep knowledge of CMS ... Experience developing or executing clinical audit programs for Medicaid, Medicare and/or commercial ...
Define MVP scope, roadmap enhancements and implementation readiness. * Apply deep knowledge of CMS ... Experience developing or executing clinical audit programs for Medicaid, Medicare and/or commercial ...
Define MVP scope, roadmap enhancements and implementation readiness. * Apply deep knowledge of CMS ... Experience developing or executing clinical audit programs for Medicaid, Medicare and/or commercial ...
Product development engineer
Norcross, GA · On-site
$65K/yr
Design and implement Stage Gate elements to execute and monitor success in all steps of the design, manufacture and packing processes. Ensure that new product development (NPD) projects are completed ...
Product development engineer
Norcross, GA · On-site
$65K/yr
Design and implement Stage Gate elements to execute and monitor success in all steps of the design, manufacture and packing processes. Ensure that new product development (NPD) projects are completed ...
Product development engineer
Norcross, GA · On-site
$65K/yr
Design and implement Stage Gate elements to execute and monitor success in all steps of the design, manufacture and packing processes. Ensure that new product development (NPD) projects are completed ...
Quick apply
Product development engineer
Norcross, GA · On-site
$65K/yr
Design and implement Stage Gate elements to execute and monitor success in all steps of the design, manufacture and packing processes. Ensure that new product development (NPD) projects are completed ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
Product Development Manager
Cincinnati, OH · On-site
$109K - $137K/yr
Develop and implement product development procedures and techniques. Oversees complex research projects, analyzes results, and provides recommendations based on findings. Assesses the scope of ...
New
Quick apply
Product Development Manager
Cincinnati, OH · On-site
$109K - $137K/yr
Develop and implement product development procedures and techniques. Oversees complex research projects, analyzes results, and provides recommendations based on findings. Assesses the scope of ...
New
Product Development Specialist
Atlanta, GA · On-site
$51K/yr
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
Product Development Specialist
Atlanta, GA · On-site
$51K/yr
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
Product Development Specialist
Windsor Mill, MD · On-site
$51K/yr
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
Product Development Specialist
Windsor Mill, MD · On-site
$51K/yr
... for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details ... implementation, and ongoing management of key products and features, based on business needs ...
Medicare Product Development Implementation information
See salary details
$41.5K - $52.7K
0% of jobs
$52.7K - $63.9K
0% of jobs
$63.9K - $75K
1% of jobs
$75K - $86.2K
12% of jobs
$94.3K is the 25th percentile. Wages below this are outliers.
$86.2K - $97.4K
17% of jobs
The median wage is $108.6K / yr.
$97.4K - $108.6K
20% of jobs
$108.6K - $119.8K
18% of jobs
$126.4K is the 75th percentile. Wages above this are outliers.
$119.8K - $131K
12% of jobs
$131K - $142.1K
10% of jobs
$142.1K - $153.3K
7% of jobs
$153.3K - $164.5K
3% of jobs
$41.5K
$112.9K
$164.5K
How much do medicare product development implementation jobs pay per year?
As of Jun 11, 2026, the average yearly pay for medicare product development implementation in the United States is $112,891.00, according to ZipRecruiter salary data. Most workers in this role earn between $93,500.00 and $129,500.00 per year, depending on experience, location, and employer.
Full-time
Posted 6 days ago
Job description
Position Summary
At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions.
The Payment Integrity Product Development Specialist (Skilled Nursing Facility or SNF SME) supports the development and launch of our SNF Payment Integrity audit product. This role is ideal for a clinical or operational leader who understands SNF regulations, medical necessity criteria, PDPM, MDS/RAI, and the drivers of improper payments. The SME will translate this expertise into scalable audit methodologies, workflows and product requirements as well as shaping a program that is clinically sound, compliant, operationally efficient and aligned with state and federal regulations.
Responsibilities:
Preferred Experience
At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions.
The Payment Integrity Product Development Specialist (Skilled Nursing Facility or SNF SME) supports the development and launch of our SNF Payment Integrity audit product. This role is ideal for a clinical or operational leader who understands SNF regulations, medical necessity criteria, PDPM, MDS/RAI, and the drivers of improper payments. The SME will translate this expertise into scalable audit methodologies, workflows and product requirements as well as shaping a program that is clinically sound, compliant, operationally efficient and aligned with state and federal regulations.
Responsibilities:
- Serve as the primary SNF domain expert for the product development team by translating regulatory and clinical requirements into audit rules, workflows and operational processes.
- Validate and refine SNF audit methodology, including medical necessity criteria, documentation standards and coding requirements.
- Define MVP scope, roadmap enhancements and implementation readiness.
- Apply deep knowledge of CMS SNF regulations, PDPM, MDS/RAI, therapy documentation and state Medicaid policies.
- Monitor regulatory updates and recommend product adjustments as needed.
- Define and validate claim selection logic, risk indicators and scoring models.
- Develop and validate end-to-end workflows, including intake, clinical review, provider outreach and appeals.
- Define SLA expectations for turnaround times, provider response windows and internal review cycles.
- Support training for clinical reviewers, auditors and provider engagement teams.
- Define reporting needs for audit outcomes, savings, provider trends and operational KPIs. Partner with analytics to ensure dashboards and reporting tools are accurate and actionable.
- Identify opportunities for continuous improvement based on audit results.
- Serve as SME during product implementation, ensuring all components are ready for deployment.
Required Qualifications:
- 5-10+ years of experience in Skilled Nursing Facility clinical operations, utilization management, payment integrity or audit programs.
- Strong understanding of CMS SNF regulations, PDPM, MDS/RAI, therapy documentation and medical necessity criteria.
- Experience developing or executing clinical audit programs for Medicaid, Medicare and/or commercial payors.
- Familiarity with claims data, coding standards and documentation requirements.
- Ability to translate complex clinical and regulatory concepts into clear operational and product requirements.
- Strong communication, analytical and data comprehension skills.
Preferred Experience
- RN, PT, OT, SLP or other clinical licensure.
- Experience with payment integrity vendors, health plans or state Medicaid agencies.
- Background in product development or clinical audit solution design.
- Experience developing claims scoring models or working with analytics teams.
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About MedReview
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
New York, NY, US
Year founded
1974