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Medical Case Reviewer Jobs (NOW HIRING)

LHH US

Medical Malpractice Case Reviewer

Boston, MA · Hybrid

$90K - $120K/yr

LHH Recruitment Solutions, in partnership with a prominent law firm in Boston, is seeking an experienced Case Reviewer/Medical Analyst to join their team. This opportunity offers the chance for ...

MyFlorida

MEDICAL CASE MANAGER - 67073597

Miami, FL · Hybrid

$1.3K - $2.7K/wk

Primary duties include, but are not limited to, clinical oversight of medical case reviews, medication administration training and monitoring, ICF/IID admissions, eligibility reviews, and other ...

State of Florida

MEDICAL CASE MANAGER - 67073597

Miami, FL · Hybrid

$1.3K - $2.7K/wk

Primary duties include, but are not limited to, clinical oversight of medical case reviews, medication administration training and monitoring, ICF/IID admissions, eligibility reviews, and other ...

New

LHH US

Medical Malpractice Case Reviewer

Boston, MA · Hybrid

$90K - $120K/yr

LHH Recruitment Solutions, in partnership with a prominent law firm in Boston, is seeking an experienced Case Reviewer/Medical Analyst to join their team. This opportunity offers the chance for ...

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Medical Case Reviewer information

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How much do medical case reviewer jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for medical case reviewer in the United States is $27.89, according to ZipRecruiter salary data. Most workers in this role earn between $21.15 and $31.25 per hour, depending on experience, location, and employer.

What is a medical case reviewer?

Medical Case Reviewers are healthcare professionals who assess and evaluate medical records, cases, or claims to ensure they meet regulatory, clinical, and organizational standards. They analyze documentation for completeness, accuracy, and compliance with policies and guidelines. Their work is crucial in healthcare settings, insurance companies, or clinical research organizations to support quality assurance and proper adjudication of medical cases. Medical Case Reviewers often have backgrounds in nursing, medicine, or related health fields, and they play a key role in maintaining the integrity of patient care and data.

What are the key skills and qualifications needed to thrive as a medical case reviewer?

To thrive as a Medical Case Reviewer, you need a solid background in healthcare or life sciences, often supported by a clinical degree and experience in medical record analysis. Familiarity with case management software, regulatory guidelines, and electronic health records (EHRs) is typically required. Attention to detail, critical thinking, and strong written communication are essential soft skills for evaluating cases and preparing comprehensive reports. These competencies are crucial for ensuring accurate case assessments, maintaining compliance, and supporting patient safety.

What are some common challenges faced by medical case reviewers in balancing accuracy with productivity?

Medical Case Reviewers often navigate the challenge of thoroughly evaluating complex clinical documentation while meeting productivity targets. Balancing the need for precise, evidence-based assessments with efficiency requires strong organizational skills and up-to-date knowledge of medical guidelines. Additionally, reviewers may encounter incomplete or ambiguous information, necessitating effective communication with healthcare providers to clarify details. Adapting to varying case types and regulatory requirements also adds complexity, making adaptability and continuous learning essential for success.

What is the difference between Medical Case Reviewer vs Medical Claims Adjuster?

AspectMedical Case ReviewerMedical Claims Adjuster
Required CredentialsMedical degree or nursing license, certifications in case reviewInsurance licensing, sometimes medical background
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, claims departments, remote
Industry UsageHealthcare, insurance, legalInsurance, healthcare
Common Search/ComparisonYesYes

Medical Case Reviewers evaluate medical records to determine coverage and treatment necessity, often requiring medical credentials. Medical Claims Adjusters handle insurance claims, assessing damages and coverage, sometimes with medical knowledge. While both roles involve insurance and healthcare, Medical Case Reviewers focus on clinical review, whereas Claims Adjusters focus on claims processing and settlement.

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What cities are hiring for Medical Case Reviewer jobs?

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What states have the most Medical Case Reviewer jobs?

States with the most job openings for Medical Case Reviewer jobs include:

Medical Case Reviewer jobs near you
Infographic showing various Medical Case Reviewer job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $58,003 per year, or $27.9 per hour.

Medical Case Reviewer MD- Vaccine Injury

Saratoga Ascend

Remote

Other

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Medical Case Reviewer (MD/DO)

Saratoga Medical is hiring a Medical Case Reviewer (MD/DO) for a remote opportunity supporting the Vaccine Injury Compensation Program (VICP) and Countermeasures Injury Compensation Program (CICP).

Saratoga Medical has an exciting opportunity for a Medical Case Reviewer (MD/DO) to provide medical reviewer and case management support in support of the VICP and CICP. This is an on-demand contract opportunity with no fixed weekly schedule. Please see the qualifications below and submit your resume if you are interested in being considered.

Performance Work Statement (PWS) / Scope:

  • The contractor shall provide medical-expert services and medical reviewer/case management support for the Vaccine Injury Compensation Program (VICP) and Countermeasures Injury Compensation Program (CICP).
  • Work includes preparing written case reviews, providing expert testimony, and supporting legal and medical evaluation efforts under the U.S. Court of Federal Claims.
  • Work is performed on-demand based on case assignments through Blanket Purchase Agreements (BPA).
  • Workload and hours vary according to HRSA/DOJ litigation case requirements.

Qualifications:

  • MD or DO degree from a U.S. or equivalent foreign-accredited institution.
  • Current, full, unrestricted medical license in any U.S. jurisdiction.
  • Proficiency in medical writing and analysis, with preference for experience in medical claims review.
  • At least three (3) years of experience writing medical case reviews or evaluations for injury compensation.
  • Typing proficiency and medical report preparation skills.
  • Subject Matter Expert with evidence of publication, research, or academic teaching credentials.

Work Location:

  • Primarily remote/telework.
  • If in-person testimony is required, testimony may occur at the U.S. Court of Federal Claims in Washington, D.C., or other designated federal venues.
  • HRSA Headquarters: 5600 Fishers Lane, Rockville, MD 20857.

Period of Performance:

  • August 25, 2025 – August 24, 2026.

Saratoga Medical Center, Inc. is an equal opportunity employer and will not discriminate in recruiting, hiring, training, promotion, transfer, discharge, compensation or any other term or condition of employment on the basis of race, religion, color, age (over age 39), sex, national origin, or on the basis of disability if the employee can perform the essential functions of the job, with a reasonable accommodation if necessary.

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