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Medical Evaluator information

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$29.5K

$65.5K

$106.5K

How much do medical evaluator jobs pay per year?

As of Jul 19, 2026, the average yearly pay for medical evaluator in the United States is $65,471.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,500.00 and $79,500.00 per year, depending on experience, location, and employer.

What is the difference between Medical Evaluator vs Medical Examiner?

AspectMedical EvaluatorMedical Examiner
CredentialsMedical degree, often with licensure and sometimes certification in disability or occupational healthMedical degree, typically with forensic pathology certification
Work EnvironmentInsurance companies, disability firms, or healthcare organizationsCoroner's offices, forensic labs, or government agencies
Industry UsageUsed mainly in insurance, workers' compensation, and disability assessmentsInvolved in death investigations and autopsies

Medical Evaluators primarily assess health conditions for insurance or disability purposes, working in healthcare or insurance settings. Medical Examiners focus on death investigations, performing autopsies and determining causes of death. While both roles require medical degrees, their work environments and responsibilities differ significantly.

How to become a medical reviewer?

To become a medical reviewer, typically a licensed healthcare professional such as a physician, nurse, or other medical specialist, must gain experience in their field and often complete additional training in medical review or case management. Certification in medical review or utilization review is often preferred, and strong analytical skills and knowledge of medical policies are essential for the role.

What are the key skills and qualifications needed to thrive as a Medical Evaluator, and why are they important?

To thrive as a Medical Evaluator, you need a solid background in medicine or healthcare, often with a medical degree or advanced clinical training, and expertise in patient assessment and diagnostic evaluation. Familiarity with medical coding systems, electronic health records (EHRs), and standardized assessment tools is typically required. Strong analytical skills, attention to detail, and clear written communication help you excel in reviewing medical documentation and preparing evaluation reports. These skills ensure accurate, objective assessments and support high-quality decisions in patient care and disability evaluations.

What are some common challenges faced by Medical Evaluators when reviewing patient cases?

Medical Evaluators often encounter challenges such as incomplete or unclear medical records, which can make it difficult to render accurate assessments. Balancing the need for thoroughness with time-sensitive deadlines is also a frequent concern. Additionally, evaluators must remain objective and adhere to strict guidelines, even when cases are complex or emotionally charged. Effective communication with healthcare providers and other team members is essential to ensure that all necessary information is collected and evaluated appropriately.

What are Medical Evaluators?

Medical Evaluators are healthcare professionals responsible for assessing patients' medical conditions, reviewing medical records, and determining the validity of claims or eligibility for benefits. They often work for insurance companies, government agencies, or healthcare organizations to provide objective medical opinions. Their assessments help guide decisions on disability claims, workers' compensation, and other benefit programs. Medical Evaluators may also be involved in quality assurance and case reviews to ensure compliance with medical guidelines.

What is the role of the qualified medical evaluator?

A qualified medical evaluator (QME) conducts medical assessments to determine an individual's medical condition, disability, or impairment, often in the context of workers' compensation or insurance claims. They review medical records, perform examinations, and provide objective reports to assist in resolving disputes or making informed decisions. QMEs typically have specialized training and certification in evaluating medical issues related to legal or insurance cases.

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

Medical evaluators are in high demand due to increased need for disability assessments, workers' compensation reviews, and insurance evaluations. These roles often require strong analytical skills, medical knowledge, and certification in relevant fields, with demand driven by healthcare and insurance industry growth.

What is a medical evaluation for a job?

A medical evaluation for a job is a process where a healthcare professional assesses a candidate's physical and mental health to determine their ability to perform job duties safely and effectively. It often includes reviewing medical history, conducting physical exams, and may involve specific tests or screenings relevant to the job requirements.
More about Medical Evaluator jobs
What states have the most Medical Evaluator jobs? States with the most job openings for Medical Evaluator jobs include:
What job categories do people searching Medical Evaluator jobs look for? The top searched job categories for Medical Evaluator jobs are:
Medical Evaluator jobs near you
Infographic showing various Medical Evaluator job openings in the United States as of July 2026, with employment types broken down into 72% Locum Tenens, 18% Full Time, 6% Part Time, 2% Contract, and 2% Summer. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $65,471 per year, or $31.5 per hour.
Neuropsychologist- Medical Evaluator

Neuropsychologist- Medical Evaluator

Managed Medical Review Organization

Columbus, OH • On-site

Contractor

Re-posted 17 days ago

Job description

About MMRO
At MMRO, we support fair, consistent, and medically sound disability and workers’ compensation determinations through objective, evidence-based physician review. Our national panel of board-certified physicians plays a crucial role in advancing the integrity of the review process by ensuring every evaluation is grounded in clinical expertise, regulatory compliance, and unbiased medical judgment.
Position Overview
As an Independent Medical Evaluator (IME) with MMRO, you will provide impartial medical assessments that help guide accurate and defensible benefit and disability decisions. You will leverage your clinical training and specialty expertise to interpret medical evidence, assess functional impact, and deliver clear, well-reasoned medical opinions.
This is an independent contractor role with flexible scheduling and the opportunity to contribute meaningfully to a process that impacts claimants, employers, and insurers across the country.
Key Responsibilities
Evidence-Based Medical Review
  • Conduct independent medical evaluations and/or chart reviews in alignment with state regulations, MMRO standards, and clinical best practices.
  • Review medical records, diagnostic data, and treatment histories to render objective and defensible conclusions.
  • Perform in-person examinations when required and assess functional limitations, causation, and impairment using established guidelines.
Clear, Defensible Reporting
  • Produce well-structured medical reports that clearly communicate your clinical reasoning and conclusions.
  • Ensure reports are thorough, evidence-based, and submitted within required timeframes.
  • Document findings in a manner that supports transparency, regulatory compliance, and high-quality decision-making.
Professional Integrity & Collaboration
  • Maintain impartiality, adhere to ethical standards, and avoid conflicts of interest.
  • Comply with applicable licensing requirements, QME regulations (if relevant), and MMRO quality expectations.
  • Communicate with MMRO’s Panel Health Program and case teams to clarify questions or provide medical insight when needed.
Qualifications
Required
  • MD or DO with an active, unrestricted medical license.
  • Board certification in your specialty.
  • Minimum of 3–5 years of post-training clinical experience.
  • Strong analytical and written communication skills.
  • Commitment to objective, evidence-based medical assessment.
Preferred
  • Prior experience with IMEs, QMEs, disability determination, or peer review.
  • Familiarity with the AMA Guides to the Evaluation of Permanent Impairment (where applicable).
  • Knowledge of workers’ compensation systems, disability programs, or functional assessment models.
  • Experience preparing medicolegal or administrative reports.
What It Means to Partner With MMRO
  • Flexible scheduling—accept assignments based on your availability.
  • Opportunity to contribute to fair, accurate, and clinically sound determinations.
  • Dedicated support from MMRO’s Panel Health Program, quality assurance teams, and medical leadership.
  • A collaborative environment focused on professionalism, integrity, and continuous improvement.

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