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Medical Review Jobs (NOW HIRING)

ICON

Medical Reviewer

Provide medical review and assessment for ICSRs as required, including targeted focus on high interest/priority cases to ensure submission readiness (e.g., completeness, medical coherence, and ...

Icon plc

Medical Reviewer

Charleston, WV · On-site

Provide medical review and assessment for ICSRs as required, including targeted focus on high interest/priority cases to ensure submission readiness (e.g., completeness, medical coherence, and ...

Empower AI Inc.

Review medical documentation for medical necessity utilizing clinical knowledge and Center for Medicare Services (CMS) policies and guidelines, as well as other state and board regulations.

Novacore

Medical Review Nurse

Conshohocken, PA · Remote

Medical Review Nurse Carbon Stop Loss Solutions is a leading managing general underwriter (MGU) in the field of employer stop loss and managed care insurance. Carbon's team of experts are known as ...

HealthPartners

Medical Review Investigator

Bloomington, MN · On-site

$29.57 - $44.35/hr

The Medical Review Investigator is responsible for the intake, investigation, and resolution of potential Fraud, Waste, and Abuse (FWA) allegations involving Medicaid, Medicare, and Commercial (fully ...

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Medical Review information

See salary details

$36.5K

$164.7K

$337K

How much do medical review jobs pay per year?

As of Jul 28, 2026, the average yearly pay for medical review 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 are the key skills and qualifications needed to thrive as a Medical Reviewer, and why are they important?

To thrive as a Medical Reviewer, you need a strong understanding of clinical medicine, scientific research, and regulatory guidelines, often supported by a medical degree or advanced healthcare qualification. Familiarity with medical databases, regulatory submission systems, and tools like MedDRA coding or CTD formatting is typically required. Attention to detail, analytical thinking, and effective written communication are essential soft skills for reviewing complex documents and collaborating with multidisciplinary teams. These skills ensure accurate, compliant, and high-quality medical evaluations that support regulatory approvals and patient safety.

What is medical review?

Medical review refers to the process of evaluating medical information, records, or claims to ensure accuracy, compliance, and appropriateness based on clinical guidelines and policies. Professionals in medical review often assess documentation for insurance claims, pre-authorization requests, or clinical trials. Their work helps ensure that patients receive appropriate care and that healthcare providers follow industry standards.

How does a Medical Review professional typically collaborate with other departments within a healthcare or insurance organization?

Medical Review professionals frequently work closely with clinical staff, claims adjusters, and compliance teams to ensure that medical records and claims are accurately assessed and meet regulatory standards. Collaboration often involves discussing complex cases, clarifying clinical documentation, and providing guidance on policy interpretation. Effective communication and teamwork are essential, as Medical Review staff often act as a bridge between medical and administrative teams to support fair and thorough claims processing.

How to become a medical reviewer?

To become a medical reviewer, typically a healthcare professional such as a physician, nurse, or pharmacist with relevant clinical experience is required. Candidates often need a medical license, strong knowledge of medical guidelines, and familiarity with medical documentation and review processes. Additional certifications or training in medical coding, compliance, or insurance review can enhance qualifications.

What is the role of a medical reviewer?

A medical reviewer evaluates medical records, claims, and documentation to ensure accuracy, compliance, and appropriate treatment. They often work in insurance, healthcare, or regulatory settings, requiring clinical knowledge and attention to detail to make informed decisions about patient care or claims processing.

What jobs make $3,000 a month without a degree?

Medical review roles, such as medical coders or billers, can pay around $3,000 monthly without requiring a degree, often needing certification and familiarity with healthcare software. Other non-degree jobs that may reach this income level include sales representatives, certain skilled trades, or administrative roles with experience, but these typically require specific skills or certifications. Income varies based on location, experience, and industry demand.

What is the difference between Medical Review vs Medical Coding Specialist?

AspectMedical ReviewMedical Coding Specialist
Required CredentialsMedical degree or clinical background, certifications like CCM or CRCCertification in coding (CPC, CCS), knowledge of coding systems
Work EnvironmentHealthcare facilities, insurance companies, telehealthHospitals, clinics, insurance companies, remote coding
Employer & Industry UsageUsed to assess medical necessity, compliance, and documentationUsed to assign billing codes based on medical records

Medical Review involves evaluating medical records for accuracy, compliance, and appropriateness, often requiring clinical expertise. Medical Coding Specialists focus on translating medical documentation into standardized codes for billing and insurance purposes. While both roles require healthcare knowledge, Medical Review emphasizes clinical assessment, whereas Medical Coding centers on coding accuracy for reimbursement.

What is the 3 month rule for jobs?

In the context of medical review jobs, the 3 month rule often refers to a probationary period during which an employee's performance is closely monitored before full employment benefits or permanent status are granted. This period allows employers to assess the employee's skills, reliability, and fit for the role, which may include tasks like reviewing medical records or ensuring compliance with healthcare regulations.
More about Medical Review jobs
What cities are hiring for Medical Review jobs? Cities with the most Medical Review job openings:
What are the most commonly searched types of Medical Review jobs? The most popular types of Medical Review jobs are:
What states have the most Medical Review jobs? States with the most job openings for Medical Review jobs include:
Medical Review jobs near you
Infographic showing various Medical Review job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $164,731 per year, or $79.2 per hour.
Medical Reviewer

Medical Reviewer

ICON

Remote

Other

Medical, Dental, Vision, Life, Retirement

Posted 13 days ago

Job description

Medical Reviewer

ICON is a global healthcare intelligence and clinical research organisation united by a mission to bring new medicines and treatments to patients faster.

As a values-driven organisation, integrity, collaboration, agility, and inclusion are at the heart of how we work and interact with each other, customers, patients, and suppliers.

As a Medical Reviewer at ICON, you will provide medical and operational oversight for end-to-end medical review activities supporting global pharmacovigilance, including individual case safety report (ICSR) medical assessment, submission readiness for high-interest cases, and coding standards oversight.

This will be a 12-month contract initially fully homebased in the UK or Belgium.

This role helps develop, revise and maintain the ICSR Medical Review process and ensures consistent, timely, and inspection-ready execution aligned with global pharmacovigilance regulations and internal quality standards.

What You Will Do:

ICSR medical assessment, submission readiness, and quality

  • Provide medical review and assessment for ICSRs as required, including targeted focus on high interest/priority cases to ensure submission readiness (e.g., completeness, medical coherence, and regulatory compliance).
  • Lead assigned supplemental medical review of key cases as needed, ensuring appropriate clinical interpretation, seriousness/expectedness considerations, and consistent medical documentation in the safety database.

ICSR coding standards and conventions

  • Oversee ICSR coding standards, ensuring consistent application of coding conventions (e.g., MedDRA and WHO Drug as applicable) and alignment with global standards and internal guidance.
  • Contribute to the development, maintenance, and delivery of PV standards, conventions, and training materials related to asset insights, medical review and coding quality.

Safety surveillance support and inspection readiness

  • Provide medical expertise and support to Benefit-Risk activities and safety strategy as delegated, including collaboration with asset/candidate Benefit-Risk leads and safety physicians/scientists as applicable.
  • Act as an SME during internal audits, vendor audits, and regulatory inspections, support readiness activities including evidence preparation and response development.

Process leadership, vendor oversight and continuous improvement

  • Provide proactive operational management and oversight of the medical review model, including prioritization, monitoring of adherence to timelines, and escalation of risks/issues.
  • Act as point of contact (PoC) for medical review requirements across GPV Reporting Operations, Patient Benefit Risk and Medical Safety, PV Quality, and relevant cross-functional stakeholders.
  • Support the development of, revision and maintenance of the medical review process, ensuring a clearly defined, documented, and scalable medical review process across clinical trial and post-marketing case processing.
  • Contribute to governance with external vendors/partners for medical review activities, including performance oversight and corrective/preventive actions (CAPA) where needed.
  • Partner with PV Operations leadership to ensure alignment and execution of medical review activities with broader PV operational strategy, including support for multi-year roadmaps and transformation automation initiatives.

Your Profile:

You will have a strong foundation in pharmacovigilance and drug safety, with the experience to work independently and guide others. Required qualifications and experience:

  • Experience in pharmacovigilance and drug safety within the pharmaceutical or CRO industry.
  • Working knowledge of MedDRA and WHO Drug coding principles and their application to ICSR quality and reporting.
  • Experience in operational oversight and/or leading cross-functional processes, including vendor oversight and performance monitoring, desired.
  • Strong communication skills, and the ability to convey complex technical information to diverse audiences and various levels of the organization.
  • Self-motivated with a proactive, problem-solving mindset and ability to drive continuous improvements and develop a diverse global PV team.
  • Ability to lead, drive and execute complex projects independently

Employment with ICON is contingent upon having the legal right to work in the country where the role is based.

ICON offers a competitive and comprehensive total rewards package designed to support your health, wellbeing, and career development.

Benefits may include:

  • Competitive base salary and performance related incentives
  • Health and wellbeing programmes including medical, dental, and vision coverage where applicable
  • Retirement and pension plans
  • Life assurance and disability coverage
  • Employee assistance programmes and wellbeing resources
  • Learning and development opportunities through structured training and career pathways

Benefits may vary depending on role and location.

Visit our careers site to read more about the benefits ICON offers.

ICON is an equal opportunity employer. We are committed to building an inclusive and accessible workplace where everyone feels valued and supported.

If you require reasonable accommodations during the recruitment process, please let us know or submit a request here.

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