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Clinical Review Analyst Jobs (NOW HIRING)

G-TECH Services

RN-Clinical Review Analyst

Detroit, MI · On-site

$33 - $34/hr

Two (2) to three (3) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc. * Demonstrated clinical knowledge and ...

Valenz

Clinical Bill Review Analyst

Phoenix, AZ · Remote

As a Clinical Bill Review Analyst, you'll review claims upfront and take a deeper dive to catch billing discrepancies, unbundled charges, and other errors based on standard billing practices and ...

Valenz Health

Clinical Bill Review Analyst

Phoenix, AZ · On-site +1

As a Clinical Bill Review Analyst, you'll review claims upfront and take a deeper dive to catch billing discrepancies, unbundled charges, and other errors based on standard billing practices and ...

CorroHealth

Clinical Review Specialist

Enabling our teams with leading technology allows analytics to guide our solutions and keeps us ... Monday - Friday, 8:00 - 5:00 PM Position Summary The Clinical Review Specialist provides clinical ...

Corrohealth

Clinical Review Specialist

OR · Remote

Enabling our teams with leading technology allows analytics to guide our solutions and keeps us ... Key Responsibilities Perform clinical reviews for medical necessity, level of care, and ...

Elevance Health

Medical Review Analyst II

Ashburn, VA

$22.50 - $40.51/hr

The Medical Review Analyst II will be responsible to provide non-clinical review and analysis of all non-complex and some complex Tier I post service medical claims. How you will make an impact:

New

Elevance Health

Medical Review Analyst II

Norfolk, VA · On-site

$22.50 - $40.51/hr

The Medical Review Analyst II will be responsible to provide non-clinical review and analysis of all non-complex and some complex Tier I post service medical claims. How you will make an impact:

New

Elevance Health

Medical Review Analyst II

Walnut Creek, CA · On-site

$22.50 - $40.51/hr

The Medical Review Analyst II will be responsible to provide non-clinical review and analysis of all non-complex and some complex Tier I post service medical claims. How you will make an impact:

New

Genesis HealthCare

They assure all clinical reviews are submitted to third party payors for timely and accurate ... They analyze, identify trends and efficiently solve problems in order to resolve cases and payor ...

Elevance Health

Medical Review Analyst II

Richmond, VA

$22.50 - $40.51/hr

The Medical Review Analyst II will be responsible to provide non-clinical review and analysis of all non-complex and some complex Tier I post service medical claims. How you will make an impact:

New

Elevance Health

Medical Review Analyst II

Roanoke, VA

$22.50 - $40.51/hr

The Medical Review Analyst II will be responsible to provide non-clinical review and analysis of all non-complex and some complex Tier I post service medical claims. How you will make an impact:

New

ChenMed

Clinical Review Pharmacist

Miami, FL · Hybrid

$118K - $168K/yr

The Clinical Review Pharmacist works to ensure that ChenMed members have access to all medically ... Excellent analytical and deductive reasoning skills; detail oriented * Good judgement and problem ...

New

ChenMed

Clinical Review Pharmacist

Miami, FL · Hybrid

$118K - $168K/yr

The Clinical Review Pharmacist works to ensure that ChenMed members have access to all medically ... Excellent analytical and deductive reasoning skills; detail oriented * Good judgement and problem ...

New

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Clinical Review Analyst information

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How much do clinical review analyst jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for clinical review analyst in the United States is $39.80, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $45.67 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Clinical Review Analyst, and why are they important?

To thrive as a Clinical Review Analyst, you need a strong background in healthcare, medical terminology, and case review, often supported by a clinical degree or relevant certification such as RN, LPN, or coding credentials. Familiarity with utilization management software, electronic health records (EHR), and medical coding systems like ICD-10 and CPT is usually required. Attention to detail, analytical thinking, and effective communication are critical soft skills for accurately assessing medical records and collaborating with providers. These skills ensure quality, compliance, and effective decision-making in the review and authorization of clinical services.

What are Clinical Review Analysts?

Clinical Review Analysts are healthcare professionals who evaluate medical records, treatment plans, and claims to ensure they meet established guidelines and standards. They work for insurance companies, hospitals, or healthcare organizations, reviewing clinical documentation to determine the necessity and appropriateness of medical services. Their role is crucial in ensuring that patients receive proper care while also managing healthcare costs and compliance. Clinical Review Analysts often collaborate with medical providers and may provide recommendations for care improvement or denial of claims when necessary.

What are some common challenges faced by Clinical Review Analysts, and how can they be effectively managed?

Clinical Review Analysts often encounter challenges such as interpreting complex medical records, keeping up with evolving healthcare regulations, and balancing caseloads with tight deadlines. Effective management of these challenges involves staying current with industry guidelines, leveraging electronic health record (EHR) systems for efficient data retrieval, and collaborating closely with medical professionals to clarify clinical details. Strong organizational skills and ongoing professional development can also help analysts maintain accuracy and compliance in their reviews.
More about Clinical Review Analyst jobs
What job categories do people searching Clinical Review Analyst jobs look for? The top searched job categories for Clinical Review Analyst jobs are:
Clinical Review Analyst jobs near you
Infographic showing various Clinical Review Analyst job openings in the United States as of June 2026, with employment types broken down into 4% As Needed, 44% Full Time, 48% Part Time, and 4% Contract. Highlights an 81% Physical, 8% Hybrid, and 11% Remote job distribution, with an average salary of $82,791 per year, or $39.8 per hour.
RN-Clinical Review Analyst

RN-Clinical Review Analyst

G-TECH Services

Detroit, MI • On-site

$33 - $34/hr

Contractor

Medical, Dental, Vision, Life, PTO

Posted 19 days ago

Job description

Fully remote- Must have state of MI unrestricted RN license.

You will perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members

  • May establish care plans and coordinate care through the health care continuum including member outreach assessments


Important QUALIFICATIONS:

  • Above average computer skills (Microsoft office)
  • Clinical experience in ICU, ER, or medical surgical unit preferred
  • Prefer utilization management experience


Additional Qualifications:

  • Two (2) to three (3) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc.
  • Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes
  • One (1) year health insurance plan experience or managed care environment preferred


Education/Certification:

  • Bachelor’s degree in nursing, allied health, business, or related field preferred
  • Registered Nurse with current unrestricted Michigan Registered Nurse license required

Company Description

Why work at G-Tech?
G-Tech is a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work at G-Tech, not only do you get health and dental benefits, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today!
G-Tech is an Equal Opportunity Employer (EOE), all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
By submitting your application, you acknowledge that recruiting technologies, including AI-assisted tools, may be used to support candidate evaluation, sourcing, matching, and communications.