Manager, External Peer Review
$100k - $125k USD
Job Title: Manager, External Peer Review
About Chartis
Chartis comprises 1,350 professionals who value working for a purpose-driven organization, people who have committed their careers to helping providers, payers, technology innovators, retail companies, and investors create and embrace solutions that reshape healthcare for the better. We work with over 900 clients annually to help make US healthcare more affordable, accessible, safe, and human.
Through our family of brands—Chartis, Jarrard, Greeley, and HealthScape Advisors—we have created a culture that prioritizes respect for our clients, commitment to each other, and unwavering integrity. From physicians, nurses, healthcare executives, and community health leaders to strategists, digital advisors, transactions experts, and healthcare futurists, we bring a diverse set of perspectives to assess healthcare challenges from every angle.
Believing in what we do helps us attract and retain the best and brightest because the work we do every day makes a meaningful impact. This theme of believing in a better way forward is woven into our brand, Believe in better.
Chartis has offices in Boston, Chicago, New York, San Francisco, Washington D.C., and Nashville. Remote work is allowed.
Position Summary
Manager, External Peer Review (EPR) Clinical Operations is responsible for managing the full lifecycle of client engagements, coordinating workflows across internal and external teams—including client, independent contractors, and clinical reviewers—and ensuring the accuracy and timeliness of deliverables and financial reporting activities.
This role provides managerial support for Chartis’ internal- and external-peer review and bylaws service offerings within the High Reliability Care Practice. The Manager brings both clinical and project management skills to support clinical evaluations of the quality and appropriateness of patient care provided by physicians, and other clinicians, on the medical staff of healthcare organizations served by Chartis. This role works with highly sensitive protected health information (PHI) and must comply with all regulatory and corporate compliance standards.
The Manager contributes directly to engagement success through project oversight, stakeholder coordination, client, reviewer, and consultant engagement, and by leveraging clinical experience. The role is expected to demonstrate sound judgment, critical thinking, effective communication, and continuous process improvement. This role also offers the opportunity to leverage subject matter expertise to support internal and external projects.
Essential Duties and Responsibilities
Practice Support
Provide clinical support and reviewer/independent contractor enablement through the coordination of onboarding/training of contractors and day-to-day engagement.
Partner with project management team on clinical documentation review and coordination.
Provide accurate and timely data to Practice leadership for reporting, planning, and decision-making.
Collaborate on onboarding and ongoing training of physician reviewers and internal colleagues (QC, Med Dir, etc.) on the Chartis Review platform and related tools.
Enforce HIPAA compliance through consistent use of secure platforms and adherence to policy.
Engagement Management
Maintain engagement dashboards and documentation requirements.
Provide coverage for the Manager of External Peer Review, particularly in the area of quality control and final deliverable management.
Monitor project progress; escalate issues such as delays or unresponsive reviewers to Practice leadership (Client focused-Practice Director; Reviewer focused-Practice /Staffing/QC Manager)
Prepare and submit draft and final deliverables aligned with contract terms, targeted delivery dates and project scope.
Tailor written and verbal communications to meet the needs of diverse audiences, including internal and external stakeholders. Actively participate in client calls and internal meetings.
Clinical Oversight
Provide Clinical Management oversight of assigned engagements ensuring adherence to contract requirements, project timelines, scope, and quality standards.
Oversee the execution of multiple concurrent projects, structuring work to align with client goals and broader project context.
Lead clinically focused project activities, including meeting facilitation, proctoring engagement support, documentation of key decisions, and preparation of draft and final deliverables.
Communication & Stakeholder Coordination
Serve as the primary clinical point of coordination between clients, internal teams, and cross-functional partners.
Clearly communicate clinical aspects of the project scope, deliverables, expectations, and timelines to internal and external stakeholders.
Risk & Issue Management
Identify, assess, and escalate clinical risks and issues to leadership, providing recommended mitigation strategies.
Clinical Workflow & Compliance
Manage the recruiting, onboarding, staffing and ongoing training of physician reviewers and internal colleagues on relevant platforms and tools.
Reinforce HIPAA compliance through the secure handling, documentation, storage, exchange, and timely purging of PHI, including medical records and imaging.
Reporting & Leadership Support
Provide accurate and timely data for leadership reporting, planning, and decision‑making.
Prepare and deliver concise project status reporting and actionable insights to practice leadership.
Practice Initiatives & Continuous Improvement
Contribute to practice‑level initiatives, strategic priorities, and efforts to improve operational efficiency and service delivery.
Identify opportunities for innovation and apply lessons learned to enhance future performance and outcomes.
Financial Management
Collaborate with Practice leadership and Finance to support timely and accurate revenue recognition, including troubleshooting discrepancies, budgeting, resource allocation, and contracting or proposal development.
Create billing events for assigned engagements and ensure invoices reflect contract terms and project milestones.
Review and validate invoice accuracy and completeness; submit for processing and A/R follow-up as necessary.
Track and manage revenue milestones for each project, ensuring data accuracy throughout the month and at month-end close.
Monitor payment status and proactively follow up on outstanding receivables; escalate to Finance and Practice Leadership when needed.
Contribute to weekly revenue forecasting by providing accurate revenue projections and engagement updates in SF/Workday or other forecasting tool.
Team and Administrative Support
Provide support to team members, reviewers, and clients by responding to inquiries, and assisting as needed.
Collaborate on internal projects and other firm initiatives aimed at improving operations or service delivery, as availability allows and contingent upon the timely, effective, and high-quality completion of core responsibilities.
Support the onboarding of new or internal colleagues and promote team learning through knowledge sharing.
Partner with Practice leadership to uphold inclusive practices and address behaviors that may undermine team cohesion or equity.
Qualifications
Bachelor’s degree required; Master’s degree preferred; equivalent professional experience may be considered.
7+ years of experience in project management, healthcare consulting, or professional services.
Healthcare experience required; a clinical background is strongly preferred.
Experience in evaluation of clinical quality (i.e. patient safety, mortality reviews, clinical risk management, practice evaluation
Proficiency with Salesforce, Workday, Microsoft Office Suite, and firm approved secure file-sharing platforms.
Exceptional organizational and time management skills.
Strong communication skills with the ability to manage multiple, highly sensitive, priorities.
Commitment to maintaining confidentiality and handling PHI in accordance with HIPAA and organizational standards.
Professional written and verbal communications to meet the needs of diverse audiences, including internal and external stakeholders.
Demonstrate active listening and inquiry skills to uncover critical insights and ensure mutual understanding.
Salary range: $100,000 - $125,000 plus may be eligible for an annual discretionary bonus. The salary range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skills, experience, training, licensure and certifications, practice area, and other business and organizational needs. In addition, Chartis offers several benefits including medical, dental, vision, HSA, FSA, disability insurance, life insurance, 401(k) match, paid time off, wellness stipend, and additional voluntary benefits.
At Chartis, we pride ourselves on having a diverse workforce. We value and celebrate the uniqueness of individuals and the different perspectives the provide. We offer equal opportunity employment regardless of race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, disability status, age, marital status, or protected veteran status.