ZipRecruiter

Log In

1

Clinical Review Analyst Jobs (NOW HIRING)

Natera

Clinical Review RN, Oncology AI Review

Austin, TX · On-site

$82K - $103K/yr

Clinical Review RN, Oncology AI Review Position Summary Natera is seeking an experienced Oncology ... Analyze challenging clinical scenarios, including patients with multiple cancer diagnoses, complex ...

Natera

Clinical Review RN, Oncology AI Review

$82K - $103K/yr

Clinical Review RN, Oncology AI Review Position Summary Natera is seeking an experienced Oncology ... Analyze challenging clinical scenarios, including patients with multiple cancer diagnoses, complex ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · Remote

$65K - $75K/yr

... analytics to help businesses innovate, scale, adapt and build resilience in a world defined by ... Performs clinical reviews according to the policies and procedures of HealthHelp within the ...

UNC Health Careers

Record Review Analyst

Kinston, NC · On-site

Oversee value analysis team for surgical services. Supervise Central Supply staff and staff ... Ability to prioritize in high pressure clinical situations. 01.7710.3119 Job Details Legal Employer:

UnitedHealth Group

IBR Clinical Review RN

Plymouth, MN · Remote

The Clinical Review Clinician serves as a subject matter expert for itemized bill reviews and ... Complete analysis of billing and departmental guidelines * Participate as needed in the achievement ...

UnitedHealth Group

IBR Clinical Review RN

Plymouth, MN · On-site

The Clinical Review Clinician serves as a subject matter expert for itemized bill reviews and ... Complete analysis of billing and departmental guidelines * Participate as needed in the achievement ...

next page

Showing results 1-20

All JobsClinical Review Analyst Jobs

Clinical Review Analyst information

See salary details

$18

$39

$62

How much do clinical review analyst jobs pay per hour?

As of Jun 14, 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.

Clinical Review RN, Oncology AI Review

Natera

Austin, TX • On-site

$82K - $103K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Natera rating

7.7

Company rating: 7.7 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

47th of 103 rated laboratories

Job description

Clinical Review RN, Oncology AI ReviewPosition Summary

Natera is seeking an experienced Oncology Registered Nurse (RN) to support the clinical review and validation of AI-driven workflows that power Signatera reimbursement and coverage operations.

This role will serve as a clinical subject matter expert responsible for reviewing complex oncology cases, auditing AI-generated clinical classifications, interpreting payer policy requirements, and providing feedback that improves the performance of Natera's clinical AI systems. The ideal candidate combines strong oncology expertise with a curiosity for technology and process improvement.

This position is highly collaborative and will work closely with Clinical Operations, Revenue Cycle Management, Product, Engineering, and Data Science teams to improve the accuracy, scalability, and effectiveness of AI-assisted clinical review processes.

Primary ResponsibilitiesClinical Case Review & Escalations
  • Review oncology patient records to determine whether cases meet clinical and payer policy requirements.
  • Serve as an escalation point for complex cases that cannot be accurately classified by AI workflows.
  • Analyze challenging clinical scenarios, including patients with multiple cancer diagnoses, complex treatment histories, and ambiguous documentation.
  • Document findings and recommendations within internal systems including Salesforce, LIMS, and other workflow tools.
  • Ensure accuracy and consistency of clinical review outcomes.
AI Audit & Validation
  • Perform ongoing audits of AI-generated clinical determinations and data classifications.
  • Evaluate AI performance against established clinical review standards.
  • Identify errors, trends, and opportunities to improve automation accuracy.
  • Participate in validation activities for new AI models, workflows, and clinical review processes.
  • Provide structured feedback to improve future AI performance.
AI Development Support
  • Partner with Product, Engineering, and Data Science teams to improve clinical AI capabilities.
  • Help define clinical decision logic and requirements used in AI-driven workflows.
  • Translate clinical review findings into actionable recommendations for automation improvements.
  • Support testing and implementation of new AI-enabled solutions.
  • Contribute to the long-term evolution of Natera's oncology clinical intelligence platforms.
Policy & Coverage Expertise
  • Develop expertise in payer coverage policies relevant to our Signatera product and oncology testing.
  • Evaluate clinical documentation against coverage requirements.
  • Assist in identifying cases that may require additional clinical review or reimbursement support.
  • Stay current on evolving oncology standards, treatment pathways, and reimbursement trends.
QualificationsRequired
  • Active RN license (state or compact).
  • BSN preferred; ADN with significant oncology experience considered.
  • 5+ years of oncology nursing experience in inpatient, outpatient, infusion, navigation, utilization review, clinical review, case management, or related settings.
  • Strong understanding of:
    • Cancer biology
    • Oncology treatment pathways
    • Disease staging
    • Patient treatment journeys
  • Experience reviewing and interpreting medical records and clinical documentation.
  • Strong critical thinking and clinical decision-making skills.
  • Ability to work independently in a fast-paced, evolving environment.
  • Excellent written communication and documentation skills.
  • Comfortable working extensively within technology platforms and digital workflows.
Highly Preferred
  • Oncology Certified Nurse (OCN).
  • Experience with payer policies, utilization management, prior authorization, or medical necessity review.
  • Experience supporting AI, automation, clinical decision support systems, or technology-enabled healthcare workflows.
  • Experience using Salesforce, Epic, LIMS, or other healthcare technology platforms.
  • Familiarity with molecular diagnostics, precision medicine, or MRD testing.
The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.
Austin, TX
$82,400—$103,000 USD

OUR OPPORTUNITY

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women's health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.

The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you'll work hard and grow quickly. Working alongside the elite of the industry, you'll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.

WHAT WE OFFER

Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!

For more information, visit www.natera.com.

Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.

All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.

If you are based in California, we encourage you to read this important information for California residents.

Link: https://www.natera.com/notice-of-data-collection-california-residents/

Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.

For more information:
- BBB announcement on job scams
- FBI Cyber Crime resource page

What Natera employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom