Careers at Managed Care Network
Build your career with Managed Care Network - join our team today and play a vital role in supporting workers’ compensation, liability, and no-fault claims. Through coordinated medical management, bill review, vocational services, legal support, and operational oversight, you’ll contribute to efficient, defensible claim resolution. We’re looking for professionals who value accuracy, responsive service, and making a meaningful impact across New York and New Jersey.
Why Join Managed Care Network
At Managed Care Network, you will be part of a professional, team-oriented environment where accountability, collaboration, and quality work matter. We recognize strong performance, encourage open communication, and support ongoing professional growth.
Our team members take on meaningful responsibilities and have opportunities to build specialized expertise across medical management, vocational services, claims analysis, legal review, bill review, compliance support, and administrative operations. The work is detailed, fast-moving, and directly connected to real claim outcomes.
Working at MCN means contributing to a results-driven organization that values precision, consistency, and high standards. Whether you are reviewing records, supporting case management, analyzing billing and fee schedules, coordinating documentation, or assisting clients, your work plays an important role in complex claims handling.
You will also work alongside experienced attorneys, nurses, vocational specialists, pharmacists, certified coders, and claims professionals. That multidisciplinary environment gives employees exposure to a broad range of expertise and practical learning opportunities within the property and casualty claims space.
Who We Look For
We are always interested in connecting with professionals who are:
Detail-oriented and highly organized
Comfortable working in a structured, process-driven environment
Able to manage multiple responsibilities efficiently
Professional in both written and verbal communication
Committed to accuracy, compliance, and accountability
Experience in workers’ compensation, liability, no-fault, medical billing, claims support, or legal services is valued. We also welcome candidates who bring strong analytical skills, adaptability, professionalism, and a willingness to learn.
At Managed Care Network, employees are trusted to take ownership of their work, contribute to a collaborative team environment, and support high-quality claim outcomes.
Current Opportunities
Bill Review Claims Processor
Managed Care Network, Inc. is a dynamic and growing managed care company committed to creating an exceptional workplace where employees feel valued, supported, and part of a close-knit team. We prioritize a culture of respect, collaboration, and continuous growth, recognizing the expertise and dedication of our staff every day.
Our strong sense of teamwork drives both company and individual success, allowing employees to thrive personally and professionally. Guided by our mission, we build trusted partnerships with our clients by delivering reliable, innovative solutions that make their work easier and more effective.
Job Description:
The Bill Review Department is seeking a motivated, detail-oriented Claims Specialist to support the medical claims review process for Workers’ Compensation and No-Fault insurance cases. This role is ideal for a growth-minded, quality-driven individual with experience in medical billing, fee schedule application, and administrative support who thrives in a fast-paced, collaborative environment.
The Bill Review Claims Specialist plays a vital role in ensuring the accurate intake, review, organization, and documentation of medical bills while supporting communication between internal departments and external partners. This position offers excellent professional growth opportunities within a dynamic and expanding department.
Key Responsibilities
Bill Review & Claims Support
Review medical bills and supporting documentation for completeness, accuracy, and proper fee schedule application.
Ensure compliance with New York State Workers’ Compensation and No-Fault billing regulations.
Perform case and claim reviews to verify documentation supports billed services.
Identify billing discrepancies and assist in resolving coding, fee schedule, or documentation issues.
Coordinate and track bill review inventory, claim status, and processing timelines.
Monitor and prioritize workloads, identifying urgent or high-priority cases to ensure timely completion.
Administrative Support
Enter, update, and maintain accurate claim and billing information within Strataware and other bill review or managed care platforms.
Utilize internal systems such as medical servers, databases, eCase, and medical portals to access claim information and support workflow processes.
Type, scan, process, and organize correspondence, reports, invoices, and related documentation.
Maintain organized electronic and physical records to support compliance and operational efficiency.
Provide administrative support across the medical department as needed, including cross-coverage for team functions.
Communication & Collaboration
Communicate professionally with adjusters, coders, providers, and internal departments to resolve billing or documentation issues.
Collaborate effectively with team members and leadership to support departmental goals and process improvements.
Provide excellent internal customer service with professionalism and responsiveness.
Additional Responsibilities:
Assist with special projects as assigned by department leadership.
Participate in ongoing training and educational opportunities to enhance job knowledge and professional development.
Adapt to changing priorities and support additional departmental functions when needed.
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Qualifications:
Required Skills & Experience
1–2 years of medical billing, bill review or similar experience, preferably in Workers’ Compensation, No-Fault or medical environments.
Experience applying medical fee schedules and reviewing medical bills.
Working knowledge of New York State Workers’ Compensation and No-Fault billing practices preferred.
Familiarity with:
Medical terminology
CPT, ICD-10, and HCPCS coding
Strong computer proficiency, including:
Microsoft Office (Excel, Outlook, Word)
Bill review software such as Strataware or similar platforms
Excellent organizational skills and strong attention to detail.
Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
Strong written and verbal communication skills.
Professional, dependable, and collaborative team player.
Solution-driven mindset with adaptability and willingness to learn.
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Job Type: Full-Time
Schedule: Monday to Friday (In office, with ability to transition to 1-day WFH upon management approval).
Job Type: Full-Time Exempt
Pay: $41,600 - $49,000 per year
Location: In Office position. 3000 Alt Blvd. Grand Island, NY 14072
Interested in Applying: Submit your resume and a brief cover letter to HR@managedcarenetwork.com
OR
Managed Care Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran or military status, marital status, sexual orientation, gender identity or expression, familial status, domestic violence victim status, arrest or conviction record, or any other characteristic protected by federal, state, or local law. All inquiries are held in strict confidence.an overview of the position here.
Vocational Specialist
About Managed Care Network, Inc.
Managed Care Network, Inc. is a boutique workers’ compensation, auto, and disability managed care firm built on a simple premise: provide multi-disciplinary expertise for claims teams, promote our customers’ success and outcomes with a high-touch, high-quality business model. For over 30 years, Managed Care Network has delivered premium nurse case management, Prior Authorization Requests, Utilization Review, medical bill review, enhanced specialty bill review services, Smart Pharmacy oversight, and proprietary cost mitigation solutions to self-insured employers, carriers, and third-party administrators across New York State and beyond.
We are a small, high-performing team. Every role here matters. Every person contributes directly to outcomes.
The Opportunity - Vocational Specialist
The Vocational Specialist is responsible for conducting comprehensive labor market and vocational research to identify suitable employment opportunities for individuals with documented physical, functional, or vocational limitations. This role supports return-to-work and employability outcomes through objective analysis of labor market conditions, individual capabilities, and job requirements.
Job Duties and Responsibilities:
Conduct local and regional labor market research to identify suitable employment opportunities based on an individual’s skills, experience, physical abilities, and location.
Identify and evaluate targeted job leads for appropriateness, feasibility, availability, wages, and hiring requirements through employer contact and labor market data.
Review individual work history, education, training, and transferable skills to assess employability and return to work potential.
Review and evaluate job search logs and supporting documentation for accuracy, completeness, and appropriateness.
Conduct independent research and employer contacts to verify reported job search activities and hiring practices.
Prepare clear, accurate written reports summarizing labor market research, employer contacts, job analyses, and job search verification findings.
Collaborate with vocational, medical, legal, claims, and employment professionals.
Communicate professionally with employers while maintaining confidentiality and ethical standards.
Utilize online resources and databases, including social media when appropriate, to support vocational research.
Qualifications:
Background in Vocational Rehabilitation, Human Resources or Staffing is preferred.
CRC/CVE preferred.
Excellent Computer Skills, including Microsoft Office – Word, Outlook and Excel
Analytical and researching skills
Excellent reading, writing and verbal communication skills
Job Type: Full-Time Exempt
Pay: $40,000 - $50,000 per year
Location: Hybrid or Remote. Some on-site work required, 3000 Alt Blvd. Grand Island, NY 14072
Interested in Applying: Submit your resume and a brief cover letter to HR@managedcarenetwork.com
OR
Managed Care Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran or military status, marital status, sexual orientation, gender identity or expression, familial status, domestic violence victim status, arrest or conviction record, or any other characteristic protected by federal, state, or local law. All inquiries are held in strict confidence.an overview of the position here.
Nurse Case Manager (Workers’ Compensation)
Company Overview
Managed Care Network, Inc. is an established managed care company who strives to be the best employer in the Property & Casualty marketplace by living our values and by providing a work environment that employees can be proud of. Through our company values, we promote employee growth so each person can Thrive and are appreciated for the expertise, hard work, and passion they bring to the company. We provide unique solutions quickly to solve problems and make our customers’ jobs easier.
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About the Role
We are seeking an experienced and compassionate Nurse Case Managers in New York State to support injured workers through the workers’ compensation process. We are currently looking to fill positions in the Albany, NY area and in New York City area. This role involves coordinating medical care, assisting in return-to-work planning, evaluating treatment plans, and working closely with physicians and employers. This is a remote position. You will work from a home office with ability to travel to field appointments.
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Join our compassionate team and help make a positive difference in an injured person’s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.
In this role, you will:
Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
Work with employers and physicians to modify job duties where practical to facilitate early return to work.
Evaluate and modify case goals based on injured/disabled person’s improvement and treatment effectiveness.
Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
Complete other duties, such as attend injured worker’s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.
Qualifications:
Education: Associates Degree or Bachelor’s Degree in Nursing
Experience: Workers’ compensation-related experience preferred.
Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient written communication skills.
Certifications, Licenses, Registrations:
Active Registered Nurse (RN) license required.
Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
Internet: Must have reliable internet.
Valid Driver's License
Job Type: Full-Time
Location: Remote
Interested in Applying: Submit your resume and a brief cover letter to HR@managedcarenetwork.com
OR
Managed Care Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran or military status, marital status, sexual orientation, gender identity or expression, familial status, domestic violence victim status, arrest or conviction record, or any other characteristic protected by federal, state, or local law. All inquiries are held in strict confidence.an overview of the position here.
Certified Professional Coder (CPC) & Affidavit Specialist
Company Overview
At Managed Care Network, Inc., we specialize in delivering innovative, fast-turnaround solutions in the Property & Casualty (P&C) marketplace. We support attorneys, insurance carriers, and providers with high-quality forensic medical reviews rooted in accuracy, compliance, and legal defensibility.
Our mission is to elevate claim strategy, support arbitration and litigation efforts, and advocate for the integrity of medical necessity and billing practices. We aim to be the best employer by fostering an environment where our employees feel empowered, supported, and appreciated for the expertise and hard work they bring. Through our Thrive values, we encourage continuous professional growth while maintaining flexibility and work-life balance.
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Position Summary
We are seeking an experienced, detail-oriented Certified Professional Coder (CPC) with a background in NYS and/or NJ fee schedules and forensic medical case review. This role is ideal for coders interested in combining medical expertise with legal impact. In this role, you will evaluate complex medical bills, audit coding practices, determine medical necessity and stabilization points, and draft counter-affidavits or cost reports for legal proceedings. The ideal candidate has deep knowledge of no-fault and workers’ compensation billing, is confident writing affidavits and affirmations, and can assess stabilization points for complex, non-accident-related cases.
You will work remotely and independently, managing your own portfolio of cases, and may be required to provide expert testimony in arbitrations or court.
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Key Responsibilities
• Review physician and facility bills to determine compliance with NYS/NJ Workers' Compensation and No-Fault Fee Schedules
• Analyze complex clinical documentation to determine point of stabilization in cases such as DWI, syncope, cardiac events, or stroke
• Audit billed services using industry-standard databases (e.g., Optum 360, Context 4, Find-A-Code)
• Identify upcoding, unbundling, and other billing discrepancies
• Prepare counter-affidavits or cost reports to reflect UCR (usual, customary, reasonable) values and support legal teams in arbitration or trial
• Collaborate with internal teams and provider billers to assess and negotiate bills outside of fee schedule parameters.
• Communicate findings clearly in writing, using legally sound language appropriate for submission to court
• Be willing to testify or be deposed as an expert regarding your findings and affidavit content
• Maintain confidentiality and ensure HIPAA compliance at all times
• Testify as needed in support of audits or affidavits authored.
• Stay up to date with relevant coding regulations, insurance requirements, and legal standards.
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Required Qualifications
• Active CPC (Certified Professional Coder) certification (AAPC)
• 3–5 years’ experience in medical coding, including:
o NYS and/or NJ Workers’ Compensation and No-Fault Insurance billing
o Fee schedule application and medical review
o ICD-10-CM, CPT, HCPCS coding systems
o DRGs and EAPGs familiarity
• Demonstrated experience drafting affidavits/affirmations for arbitration/litigation.
• Exceptional attention to detail and documentation quality.
• Strong written communication and legal writing skills.
• Ability to work independently with minimal oversight in a deadline-driven environment.
• Knowledge of coding systems: ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, CDT, DRG
• Proficient in the use of coding audit tools and UCR databases (e.g., Optum 360, Context 4, Find-A-Code)
• Willingness to testify or be deposed if required
• Must be legally authorized to work in the United States
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Preferred Qualifications
• Prior experience with forensic medical coding or legal proceedings
• Ability to determine medical stabilization in complex claims
• Experience testifying in legal or arbitration settings
• Background in auto/no-fault, workers' compensation, or personal injury law support
Location: Hybrid or Remote Positions Available
Salary Range: $50,000 - $70,000 per year
Job Type: Full-Time | Monday-Friday | 8:00 am - 4:30 pm
Interested in Applying: Submit your resume and a brief cover letter to HR@managedcarenetwork.com
OR
Managed Care Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran or military status, marital status, sexual orientation, gender identity or expression, familial status, domestic violence victim status, arrest or conviction record, or any other characteristic protected by federal, state, or local law. All inquiries are held in strict confidence.an overview of the position here.
RN or LPN Certified Professional Coder (CPC)
Company Overview
Managed Care Network, Inc. is an established managed care company who strives to be the best employer in the Worker’s Compensation and No-Fault marketplace by living our values and by providing a work environment that employees can be proud of. Through our company values, we promote employee growth so each person can Thrive and are appreciated for the expertise, hard work, and passion they bring to the company. We provide unique solutions quickly to solve problems and to make our customers’ jobs easier.
Position Summary
We are seeking a dedicated RN/LPN Certified Professional Coder (CPC) to join our team. This role blends medical coding expertise with medical record analysis. You will audit medical bills and records for accuracy, causality, and relatedness, prepare medical evidence for clients, and support litigation through affidavits and case summaries. The ideal candidate is highly organized, analytical, independent, and has strong communication skills. This role blends clinical expertise, medical coding precision, legal documentation skills, and a strong eye for detail. You will play a key part in auditing medical bills and records, preparing affidavits and affirmations, and supporting our clients through the claims and litigation process.
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Key Responsibilities:
• Review, analyze, and audit medical bills to ensure validity, accuracy, and compliance with various fee schedules.
• Analyze medical records to evaluate the care provided and the claimant’s medical status.
• Examine medical records for issues, omissions, discrepancies, and standard-of-care concerns.
• Conduct research using medical journals and clinical resources to support case findings.
• Draft clear, concise, and legally sound affirmations and affidavits adhering to regulatory and organizational standards for arbitration and litigation purposes.
• Develop detailed case summaries, medical timelines, and organize medical evidence for client use.
• Ensure coding and charges are fully supported by clinical documentation.
• Potentially testify in legal proceedings regarding audits and affidavits.
• Maintain high standards of documentation and confidentiality at all times.
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Qualifications:
• Certified Professional Coder (CPC) Certification (AAPC) Required
• Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) Preferred
• Strong knowledge of ICD-10 coding standards
• 2+ years of coding and medical record review experience preferred
• Experience with Workers' Compensation, No-Fault Insurance, DRGs, and EAPGs - Required
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Skills and Attributes:
• High level of integrity, dependability, and attention to detail
• Strong analytical, researching, and critical-thinking abilities
• Excellent written, verbal, and interpersonal communication skills
• Proficiency with Microsoft Office (Word, Outlook, Excel)
• Outstanding time management and independent work capabilities
• Ability to multitask, prioritize, and meet strict deadlines
• Adaptable and quick to learn new applications and processes
• Comfortable educating attorneys and legal teams about medical issues
Interested in Applying: Submit your resume and a brief cover letter to HR@managedcarenetwork.com
OR
Managed Care Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran or military status, marital status, sexual orientation, gender identity or expression, familial status, domestic violence victim status, arrest or conviction record, or any other characteristic protected by federal, state, or local law. All inquiries are held in strict confidence.an overview of the position here.
Learn More About Us
Want to learn more about Managed Care Network? Visit our About page to learn more about the company, our Team page to meet the leadership behind our work, or our Services page to see how we support workers’ compensation, liability, and no-fault claims across New York and New Jersey.