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Medical Peer Review Companies Jobs (NOW HIRING)

Healthfirst., Inc.

Medical Peer Reviewer

Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for ...

Madera Community Hospital

Peer Review Nurse

Madera, CA · On-site

$46 - $61.91/hr

The Peer Review Nurse will evaluate clinical documentation, patient charts, and care processes to ... Will conduct comprehensive reviews of Electronic Medical Records (EMR) to assess the ...

Madera Community Hospital

Peer Review Nurse

Madera, CA · On-site

$46 - $61.91/hr

The Peer Review Nurse will evaluate clinical documentation, patient charts, and care processes to ... Will conduct comprehensive reviews of Electronic Medical Records (EMR) to assess the ...

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited Independent Review Organization (IRO) that provides objective, evidence-based medical peer reviews nationwide.

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited Independent Review Organization (IRO) that provides objective, evidence-based medical peer reviews nationwide.

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited Independent Review Organization (IRO) that provides objective, evidence-based medical peer reviews nationwide.

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Medical Peer Review Companies information

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$164.7K

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How much do medical peer review companies jobs pay per year?

As of Aug 9, 2026, the average yearly pay for medical peer review companies in the United States is $164,731.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $268,500.00 per year, depending on experience, location, and employer.

What is a medical peer review company?

Medical peer review companies are organizations that provide independent, expert evaluations of medical cases, treatments, or services. They typically employ licensed and board-certified healthcare professionals to review clinical documentation and determine whether the care provided met established standards and guidelines. These reviews are often used by insurance companies, hospitals, or legal entities to ensure quality and compliance in healthcare delivery. The goal is to promote accurate, unbiased decision-making in patient care and claims processing. Medical peer review companies play a critical role in improving healthcare outcomes and reducing unnecessary costs.

What are some common challenges professionals face when working at a medical peer review company?

Professionals in medical peer review companies often encounter challenges such as managing tight deadlines for case reviews, ensuring objectivity while balancing client expectations, and staying up to date with evolving medical guidelines and regulations. Additionally, the role frequently requires collaboration with physicians, legal teams, and insurance companies, which can present communication and coordination hurdles. However, overcoming these challenges can enhance analytical skills and provide exposure to a wide range of medical cases, supporting long-term career growth.

What are the key skills and qualifications needed to thrive at a medical peer review company, and why are they important?

To thrive at a medical peer review company, professionals generally need a strong background in healthcare, such as an MD, DO, RN, or relevant clinical license, coupled with in-depth knowledge of medical standards and regulatory guidelines. Familiarity with medical review software, electronic health records (EHR), and compliance systems like URAC or NCQA accreditation is often required. Attention to detail, critical thinking, and effective written communication are essential soft skills for accurate case evaluations and clear reporting. These abilities ensure objective, high-quality reviews that support fair medical decision-making and regulatory compliance.

What is the difference between Medical Peer Review Companies vs Medical Review Nurses?

AspectMedical Peer Review CompaniesMedical Review Nurses
CredentialsMedical degrees, often with specialized certificationsRegistered nurses with clinical experience and certifications
Work EnvironmentCorporate offices, remote review settingsHospitals, clinics, insurance companies
Employer & Industry UsageHealthcare consulting firms, insurance companiesInsurance providers, healthcare facilities
Primary RoleConducting independent reviews of medical records for quality and complianceAssessing medical records, supporting claims and utilization review

Medical Peer Review Companies focus on evaluating medical records for quality and compliance, often employing physicians and specialists. Medical Review Nurses perform clinical assessments, supporting insurance claims and utilization reviews. Both roles require healthcare credentials but differ in scope and work environment.

More about Medical Peer Review Companies jobs
What cities are hiring for Medical Peer Review Companies jobs? Cities with the most Medical Peer Review Companies job openings:
What states have the most Medical Peer Review Companies jobs? States with the most job openings for Medical Peer Review Companies jobs include:
What job categories do people searching Medical Peer Review Companies jobs look for? The top searched job categories for Medical Peer Review Companies jobs are:
Medical Peer Review Companies jobs near you
Infographic showing various Medical Peer Review Companies job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $164,731 per year, or $79.2 per hour.

Medical Peer Reviewer

Healthfirst., Inc.

Remote

Part-time

Re-posted 14 days ago

Job description

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.
Know Your Rights
All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

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