MedReview Inc. Tech Stack

Clinical claims auditing and payment integrity platform for payers

Hospitals and Health Care New York, New York 201–500 employees Founded 1974 Privately Held

MedReview is a physician-led claims auditing company built around clinical review and payment integrity for health insurance payers. The tech stack reveals a traditional healthcare IT footprint—SQL Server, NetSuite, Power BI, Azure—with recent security hardening (SIEM, SOAR, XDR, Purview) addressing gaps in their current posture. Hiring velocity is accelerating in data and healthcare roles, while active projects cluster around DRG validation, algorithm deployment, and audit standardization, signaling operational scaling in their core claims-processing engine.

Tech Stack 76 technologies

Core StackPower BI SQL Server NetSuite Jira Confluence Smartsheet Active Directory Windows Server AWS Python Microsoft Project Excel Word Outlook Microsoft Office Azure Microsoft Purview SIEM SOAR XDR SFTP FTPS HTTPS LDAP SAML Azure Entra ID Red Hat Enterprise Linux NetApp Isilon PowerShell+43 more

What MedReview Inc. Is Building

◆Challenges

Finding gaps in current security posture
Reducing false positives
Payment integrity issues
Reducing waste
Medical cost savings identification
Technology solution optimization
Audit process standardization
Improving forecast accuracy
Monitoring financial performance against budget
Managing appeals from non-participating providers

▲Active Projects

Drg validation
Standardizing azure security best practices
Payment integrity (pi) operations
Develop and update model language for review activity
Quality assurance activities related to clinical review programs
Pi edits and algorithms deployment
Audit process standardization
Cost outlier
Implementing new security products
Readmission reviews

Hiring Activity

Accelerating35 roles · 20 in 30d

Department

Data

Healthcare

Ops

Security

Support

Finance

Coding

Seniority

Mid

Senior

Director

Junior

Notable leadership hires: Medical Director

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About MedReview Inc.

MedReview helps health insurance payers reduce claim overpayments through a combination of algorithmic flagging and physician-led clinical review. Founded in 1974, the company has built a 201–500-person operation centered on payment integrity, utilization management, and quality assurance—services that include DRG validations, hospital bill audits, readmission reviews, prior authorizations, and HEDIS/QARR reviews. The business model relies on a physician-staffed review function paired with machine learning to identify the highest-confidence claim inaccuracies and abuse patterns. Revenue is tied directly to audit findings and savings delivered to health plans.

HeadquartersNew York, New York

Company Size201–500 employees

Founded1974

Hiring MarketsUnited States, Syria

Frequently Asked Questions

What is MedReview's core business?

MedReview audits medical claims for health insurance payers to identify inaccuracies and reduce overpayments. Services include payment integrity, DRG validations, hospital bill audits, utilization management, prior authorizations, and quality assurance reviews.

Where is MedReview headquartered?

MedReview is headquartered in New York, New York and currently employs 201–500 people.

What tech stack does MedReview use?

MedReview's primary stack includes SQL Server, NetSuite, Power BI, Azure, and Microsoft Office tools. Recent additions include SIEM, SOAR, XDR, and Microsoft Purview for security; they also use Python and active directory protocols (LDAP, SAML, Azure Entra ID).