Dane Street

Sales

• Proactively identify and pursue new business opportunities within the Workers' Compensation IME space
• Develop and maintain relationships with insurance companies, attorneys, third-party administrators, and medical professionals
• Conduct market research to identify potential clients and understand their needs
• Create and deliver sales presentations and proposals tailored to client requirements
• Negotiate and close sales agreements to achieve or exceed sales targets
• Collaborate with internal teams to ensure seamless onboarding and excellent client service
• Maintain knowledge of industry trends, competitor activities, and regulatory changes
• Attend industry conferences, networking events, and trade shows to represent Dane Street and build a professional network
• Perform other duties and special projects as assigned based on business needs

Sales Director

Operations

• Serve as the bridge between internal operations and clients, ensuring compliance with client parameters and quality standards
• Partner with client auditors through monthly review calls and calibration sessions
• Manage monthly case sample selection, score logging, and deduction-point tracking in the client portal
• Lead audit rebuttals by investigating findings and presenting data-backed appeals
• Maintain, analyze, and upload quality metrics and audit insights to the client portal
• Lead in-person client touchpoints and strategic business reviews
• Facilitate coaching sessions for the internal QA team
• Analyze audit trends, identify root causes, and recommend process solutions
• Oversee post-audit action plans and implementation of process updates and machine-learning enhancements
• Collaborate with Machine Learning, client, and operations teams to develop automation rules
• Validate machine-learning automations and tool features against live sample data
• Conduct internal QA calibration sessions to eliminate scoring variances
• Document audit methodologies, case guidelines, and client-specific rules in SOPs
• Design CAPA protocols for recurring high-severity errors and compliance failures
• Establish reporting cadence for executive leadership covering risks, solutions, and performance gains

Quality and Process Improvement Lead

Pharmacist

• Evaluate complex prior authorization requests, appeals, and medication coverage determinations
• Ensure clinical appropriateness and compliance with evidence-based guidelines
• Act as a subject matter expert in pharmacy benefit management
• Interpret complex drug criteria, formulary guidelines, step therapy, and quantity limits for specialty and non-specialty medications
• Conduct rigorous Drug Utilization Review (DUR)
• Make objective decisions supporting medical necessity standards
• Contribute to high-quality healthcare delivery and regulatory excellence

Clinical Pharmacy Reviewer, Pharmacist

Physician

• Conduct thorough reviews of clinical cases
• Evaluate medical records
• Provide clinical summaries
• Engage in peer communications
• Answer specific questions posed by clients
• Deliver advisory-only medical opinions without establishing a doctor/patient relationship or providing treatment

Board Certified Physician Reviewer – Rheumatology

Recruitment

• Maintain the physician panel, including physician profile instructions, updated fees, doctor groups, physician deactivation/reactivation, and W9 remit-to changes
• Understand Client fee schedules and TAT requirements to negotiate physician agreement terms within pre-established guidelines
• Research and conduct outreach when new panel options are needed
• Onboard new physicians based on Client needs
• Obtain necessary paperwork, including agreements, applications, CVs, W9s, and NPDB documentation
• Work with Network leadership to set agreement fees
• Provide dictation/Access DS instructions as necessary
• Represent and recruit physicians in person
• Conduct in-person clinic visits to interact with and support block-time physicians
• Provide scheduling assistance to support Operations and maximize scheduling capacity
• Recruit and manage doctors in regional strategic markets to support IME exam services and business needs across specialties
• Address licensing and necessary certifications for doctors willing to allow unilateral recording and commit to blocked clinic days
• Conduct in-person recruitment and relationship-management visits with current and prospective panel physicians
• Foster long-term partnerships with panel doctors through face-to-face meetings and ongoing field presence
• Source and fulfill open service requests requiring urgent network recruitment, with daily sourcing updates
• Procure exam locations and add them to Dane Street’s database of available resources
• Perform other duties and special projects as assigned

Physician Recruiter

Attorney

• Maintain the physician panel, including physician profiles, fees, doctor groups, physician activation status, and W9 remit-to changes
• Understand client fee schedules and turnaround-time requirements to negotiate physician agreement terms
• Research and conduct outreach when new panel options are needed
• Onboard new physicians based on client needs
• Obtain physician paperwork, including agreements, applications, CVs, W9s, and NPDB documentation
• Work with Network leadership to set agreement fees
• Provide dictation and Access DS instructions as necessary
• Maintain relationships with regional panel physicians
• Represent the company in person and conduct clinic visits with block-time physicians
• Provide scheduling assistance to support Operations and maximize scheduling capacity
• Recruit and manage doctors in regional strategic markets for IME exam services and specialty coverage
• Address licensing and necessary certifications for doctors willing to allow unilateral recording and commit to blocked clinic days, as applicable
• Conduct in-person recruitment and relationship-management visits with current and prospective panel physicians
• Foster long-term partnerships with panel doctors through face-to-face meetings and ongoing field presence
• Source and fulfill open service requests requiring urgent network recruitment, with daily sourcing updates
• Procure exam locations and add them to the database of available resources
• Perform other duties and special projects as assigned based on business needs

Legal Services Recruiter

• Maintain the physician panel, including physician profile instructions, updated fees, doctor groups, physician deactivation/reactivation, and W9 remit-to changes
• Understand client fee schedules and turnaround-time requirements to negotiate physician agreement terms
• Research and conduct outreach when new panel options are needed
• Onboard new physicians based on client needs
• Obtain agreements, applications, CVs, W9s, and NPDB paperwork
• Work with Network leadership to set agreement fees
• Provide dictation and Access DS instructions as necessary
• Maintain relationships with regional panel physicians
• Recruit and manage doctors in regional strategic markets to support IME exam services and business needs across specialties
• Address licensing and necessary certifications for doctors willing to allow unilateral recording and commit to blocked clinic days, when applicable
• Conduct in-person recruitment and relationship-management visits with current and prospective panel physicians
• Foster long-term partnerships through face-to-face meetings and ongoing field presence
• Source and fulfill open service requests requiring urgent network recruitment, with daily sourcing updates
• Procure exam locations and add available resources to Dane Street’s database in target areas
• Perform other duties and special projects as assigned based on business needs

Reviewer

• Conduct comprehensive reviews of clinical cases
• Apply specialized neuroradiology expertise to provide objective, evidence-based medical advisory opinions
• Review medical records, radiology reports, and relevant neuroimaging documentation
• Prepare clear and concise clinical summaries
• Respond to client questions regarding neuroradiologic findings, diagnoses, imaging appropriateness, and medical care
• Perform advisory medical record reviews only, without peer-to-peer discussions, calls, or direct patient care

Board-Certified Neuroradiologist, Medical Record Reviewer

Medical Reviewer

• Conduct comprehensive reviews of dental and medical records, treatment documentation, diagnostic information, and clinical records
• Prepare clear and concise clinical summaries
• Respond to specific client questions related to dental care
• Provide objective, evidence-based medical advisory opinions
• Perform advisory medical record reviews only, without peer-to-peer discussions, calls, or direct patient care
• Support high-quality, objective, and defensible medical determinations

Licensed Dentist – Clinical Reviewer

• Conduct comprehensive reviews of clinical cases
• Apply specialized otolaryngology expertise to provide objective, evidence-based medical advisory opinions
• Review medical records, clinical documentation, diagnostic reports, and treatment records
• Prepare clear and concise clinical summaries
• Respond to client questions related to otolaryngologic care
• Perform advisory medical record reviews only, without peer-to-peer discussions, calls, or direct patient care
• Evaluate ENT procedures, treatment, medical records, and clinical documentation
• Provide high-quality, objective, and defensible medical determinations

Board-Certified Otolaryngologist – Clinical Reviewer

Analyst

• Communicate with customers, reviewers, physicians, office staff, and management to ensure completed reports are delivered by customer-requested due dates
• Ensure reviewer reports are timely, complete, clinically accurate, and compliant with customer requirements, company best practices, and jurisdictional standards
• Provide regular report status updates to clients
• Clarify ambiguous report questions with clients
• Distribute final reports according to client-specific requirements
• Coordinate clarification and addendum requests from clients
• Participate in client phone calls or meetings regarding questioned reports
• Follow up with clients for missing referral information
• Work directly with physicians to answer client questions and support clinical rationale
• Follow up with physicians or office staff to ensure on-time report delivery
• Provide verbal or written feedback and clarification requests to physicians
• Obtain physician approval and signature for final reports
• Review physician reports for data accuracy, spelling, grammar, and punctuation
• Ensure state reporting requirements, report formatting, client requirements, and special handling instructions are met
• Provide oversight to team members as needed
• Improve processes to enhance turnaround time, peer-to-peer success rates, and client satisfaction
• Give final approval for cases released to clients
• Liaise with and coordinate quality issue reports and new reviewer reports with the VP of Clinical Operations
• Perform other duties and special projects as assigned

Group Health Quality Analyst 1 – Nights

Customer Support

• Intake new cases and review and verify information and requests
• Draft cases by entering information into the Dane Street AccessDS system
• Work with clients to obtain missing information needed to process claims
• Sort, organize, and create medical document listings when required
• Assign and schedule cases to appropriate physicians based on location, reviewer availability, guidelines, jurisdictional requirements, and client requirements
• Ensure assigned physicians have no conflicts of interest with case assignments
• Monitor, process, and track cases to meet deadlines
• Frequently update clients on cases in progress
• Communicate questions about referral information to ensure proper documentation is provided to assigned reviewers
• Ensure proper documentation for specified cases is provided to clients
• Perform other duties and special projects as assigned based on business needs

Workers Comp Customer Service Representative

• Conduct thorough reviews of clinical cases
• Evaluate medical records
• Provide clinical summaries
• Engage in peer communications
• Answer specific questions posed by clients
• Help deliver high-quality healthcare assessments

Board Certified Physician Reviewer, Physical Medicine & Rehabilitation

Psychiatrist

• Conduct thorough reviews of clinical cases
• Evaluate medical records
• Provide clinical summaries
• Engage in peer communications
• Answer specific questions posed by clients
• Perform psychiatric disability peer reviews as an expert reviewer

Board Certified Psychiatrist – Disability Peer Reviewer

• Maintain and expand Dane Street’s physician panel
• Negotiate physician fees and contract terms within established guidelines
• Onboard new physicians based on client demand
• Ensure open service requests are resolved promptly
• Understand client fee schedules and turnaround-time requirements
• Conduct outreach for refunds or recoupments and collaborate with Finance and Legal on collections
• Maintain physician records, including fee updates, W9 and remittance changes, profile instructions, doctor groups, and deactivations/reactivations
• Research and source new panel options
• Collect agreements, CVs, applications, W9s, and NPDB reports
• Coordinate with the Director of Operations to finalize fees
• Lead contract renegotiations for existing physicians
• Handle complex client requests involving niche specialties or urgent network gaps
• Assist physician reviewers with technical issues or case-specific inquiries
• Fulfill high-priority OSRs by recruiting appropriate specialists and providing daily progress updates
• Collaborate with operations to align the network with business needs
• Support projects and tasks assigned by leadership
• Stay current on industry trends and compliance requirements