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Clinical Validation Jobs (NOW HIRING)

Whoop

Director, Clinical Science

Boston, MA · On-site

$86K - $118K/yr

Define clinical validation strategies, including study design, comparator selection, endpoint development, sample size justification, statistical analysis planning, success criteria, and evidence ...

Whoop

Director, Clinical Science

Boston, MA · On-site +1

$86K - $118K/yr

Define clinical validation strategies, including study design, comparator selection, endpoint development, sample size justification, statistical analysis planning, success criteria, and evidence ...

Whoop

Director, Clinical Science

Boston, MA · On-site

$86K - $118K/yr

Define clinical validation strategies, including study design, comparator selection, endpoint development, sample size justification, statistical analysis planning, success criteria, and evidence ...

Whoop

Director, Clinical Science

Boston, MA · On-site +1

$86K - $118K/yr

Define clinical validation strategies, including study design, comparator selection, endpoint development, sample size justification, statistical analysis planning, success criteria, and evidence ...

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How much do clinical validation jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for clinical validation in the United States is $52.00, according to ZipRecruiter salary data. Most workers in this role earn between $39.42 and $63.22 per hour, depending on experience, location, and employer.

What is the most needed job in the medical field right now?

Clinical validation specialists are in high demand as healthcare companies seek professionals to ensure the accuracy and reliability of medical devices and software. These roles require knowledge of medical standards, data analysis skills, and often certification in relevant regulatory practices. The growing emphasis on digital health and medical technology drives the need for qualified clinical validation experts.

What are the key skills and qualifications needed to thrive in the Clinical Validation position, and why are they important?

To thrive in Clinical Validation, you need a solid understanding of medical coding, clinical documentation, and healthcare regulations, often supported by credentials such as an RN or coding certifications (e.g., CCS, CDIP). Familiarity with coding and documentation review tools, EHR systems, and coding software is typically required. Strong analytical thinking, attention to detail, effective communication, and collaboration skills help professionals excel in this field. These skills are essential for accurately validating clinical data, ensuring compliant documentation, and supporting the integrity of healthcare billing and reimbursement processes.

What is a Clinical Validation job?

A Clinical Validation job involves reviewing and assessing medical records, diagnoses, and treatments to ensure accuracy, compliance, and consistency with clinical guidelines. Professionals in this role collaborate with healthcare providers to validate clinical documentation and coding for appropriate reimbursement and regulatory adherence. They typically have a background in nursing, healthcare administration, or medical coding. The goal is to improve patient care quality while reducing errors and discrepancies in clinical data.

What jobs in the US pay 300,000 a year?

In the field of clinical validation, senior roles such as Clinical Validation Managers or Directors can reach or exceed a $300,000 annual salary, especially with extensive experience, advanced certifications, and leadership responsibilities. These positions often require strong analytical skills, knowledge of medical devices or diagnostics, and experience managing teams or projects in regulated environments.

What is a clinical validation?

A clinical validation is the process of confirming that a medical device, test, or software accurately and reliably measures or detects what it is intended to in a clinical setting. For a clinical validation role, skills in data analysis, understanding of medical standards, and familiarity with regulatory requirements are important. It involves reviewing clinical data, designing validation protocols, and ensuring compliance with industry regulations.

How to become a validation specialist?

To become a validation specialist, typically one needs a background in life sciences, engineering, or a related field, along with experience in quality assurance or regulatory compliance. Certifications such as GxP or CSV (Computer System Validation) can enhance prospects, and familiarity with validation protocols, documentation, and industry standards is essential.

What are the typical day-to-day responsibilities of someone working in Clinical Validation?

A Clinical Validation professional typically reviews clinical documentation and patient records to ensure that diagnoses, procedures, and treatments are accurately coded and compliant with healthcare regulations. Daily tasks often include communicating with physicians and coding teams to clarify documentation, analyzing medical records for completeness and accuracy, and preparing reports for quality assurance. You’ll also help address any discrepancies found during audits and support ongoing staff education on best documentation practices. This role requires frequent collaboration with both clinical and administrative staff to support reimbursement processes and maintain regulatory compliance.

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Clinical Validation jobs near you
Infographic showing various Clinical Validation job openings in the United States as of July 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $108,152 per year, or $52 per hour.
Medical Review Nurse - Clinical Validation

Medical Review Nurse - Clinical Validation

Machinify

Remote

Full-time

Re-posted 8 days ago

Job description

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
The Medical Review Nurse II primarily performs medical claims audit reviews. As a MR Nurse, you will join a team of experienced medical auditors and coders performing retrospective and prepayment audits on claims for Government and Commercial Payers. You will work remotely in a fast-paced and dynamic environment and be part of a multi-location team.
Key Responsibilities:
  • Auditing claims for medically appropriate services provided for inpatient settings while applying appropriate medical review guidelines, policies and rules.
  • Document all findings referencing the appropriate policies and rules.
  • Generate letters articulating audit findings.
  • Support your findings during the appeals process if requested.
  • Working collaboratively with the audit team to identify and obtain approval for particular vulnerabilities and/or cases subject to potential abuse.
  • Keep abreast of medical practice, changes in technology, and regulatory issues that may affect our clients.
  • Work with the team to minimize the number of appeals; Suggest ideas that may improve audit workflows; Assist with QA functions and training team members.
  • Cross train in all clinical departments/areas.
  • Other duties as required to meet business needs.

Knowledge, Skills and Abilities Needed:
  • Experience with utilization management systems or clinical decision-making tools such as Medical Coverage Guidelines (MCG) or InterQual.
  • Experience with and deep knowledge of ICD-9, ICD-10, CPT-4 or HCPCS coding.
  • Knowledge of insurance programs program, particularly the coverage and payment rules.
  • Ability to maintain high quality work while meeting strict deadlines.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple tasks including desk audits and claims review.
  • Must be able to independently use standard office computer technology (e.g. email SharePoint, slack, outlook calendar etc.)
  • Must be able to manage multiple assignments effectively, create documentation outlining findings and/or documenting suggestions, organize and prioritize workload
  • Effectively work independently and as a team, in a remote setting.

Education Requirements:
  • An associate or bachelor's degree in nursing (active/unrestricted RN license).

Certification (at least one of the following is required):
  • CCDS - Certified Clinical Documentation Specialist
  • CDIP - Clinical Documentation Improvement Practitioner
  • CCS - Certified Coding Specialist
  • CIC - Certified Inpatient Coder

Required and Preferred Qualifications:
  • Inpatient claims auditing, quality assurance or recovery auditing experience of 2 years or more required, and/or Inpatient Clinical Documentation Integrity experience of 2 years or more required.
  • Strong focus on quality and attention to detail.
  • Deep curiosity and analytical skills to understand root causes of events and behaviors.
  • Proven ability to apply critical judgment in clinical and coding determinations.
  • In-depth knowledge of clinical criteria and documentation requirements to support code assignments.
  • Expert in DRG methodologies (e.g., MS & APR).
  • Expertise in ICD-10-CM/PCS coding, UHDDS definitions, Official Coding Guidelines, and AHA's Coding Clinic Guidelines.
  • Ability to work independently and efficiently with minimal supervision.

Equal Employment Opportunity at Machinify
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/

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