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Medical Review Manager Jobs (NOW HIRING)

Saratoga Medical

Medical Review Manager

Catonsville, MD · On-site

Saratoga Medical has an immediate opening for a Medical Review Manager for a program supporting the Centers for Medicare and Medicaid Services (CMS) in Catonsville, MD. The work hours are Monday to ...

Saratoga Ascend

Medical Review Manager

Catonsville, MD · On-site

Medical Review Manager Saratoga Medical has an immediate opening for a Medical Review Manager for a program supporting the Centers for Medicare and Medicaid Services (CMS) in Catonsville, MD. The ...

Mercy Medical Center

Medical Review Coordinator

Aurora, IL · On-site

$32 - $46.35/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Mercy Medical Center Location : Aurora, IL Responsibilities Coordinates and reviews all medical ... Actively participates in Case Management and Treatment Team meetings. Serves as on-going educator ...

TalentBurst, Inc.

Sr. Manager, Medical Review

Plainsboro, NJ · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

Job Title: Sr. Manager, Medical Review Location: Remote Contract: 1 year with possible extension What are the top 5 skills/requirements this person is required have? 1. Represent Medical in the ...

Mercy Medical Center

Medical Review Coordinator

Aurora, IL · On-site

$32 - $46.35/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Mercy Medical Center Location : Aurora, IL Responsibilities Coordinates and reviews all medical ... Actively participates in Case Management and Treatment Team meetings. Serves as on-going educator ...

Prime Healthcare

Medical Review Coordinator

Aurora, IL · On-site

$32 - $46.35/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Aurora, IL Coordinates and reviews all medical records, as assigned to caseload ... Actively participates in Case Management and Treatment Team meetings. Serves as on-going educator ...

i3logix

Medical Review Specialist

Indianapolis, IN

$19/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical Review Specialist (MRS) About i3screen: i3screen is a privately held subsidiary of i3logix, a provider of enterprise document management solutions, scheduling solutions, and custom software.

i3logix

Medical Review Specialist

Denver, CO · On-site

$21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical Review Specialist (MRS) About i3screen: i3screen is a privately held subsidiary of i3logix, a provider of enterprise document management solutions, scheduling solutions, and custom software.

RELI Group Inc.

Medical Review Nurse III

Baltimore, MD · On-site +1

$80K - $95K/yr

Report problems to the Medical Review Manager (MRM) and Project Manager (PM) regarding unique record or process issues. * Maintain security and confidentiality of medical records and Protected Health ...

True Vet Solutions

Medical Review Assistant

Middleburg, FL · On-site

$17 - $22/hr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Update and notate corresponding accounts in the CRM system * Adhere to company file-naming ... Experience with medical terminology * Knowledge of veteran benefits, disability ratings, or ...

Otsuka Pharmaceutical Co., Ltd

$186 - $279/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Supports vendor oversight activities for the Medical Review function, including performance monitoring, issue management, and ensuring compliance with company and regulatory expectations.* Monitors ...

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Medical Review Manager information

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How much do medical review manager jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for medical review manager in the United States is $44.26, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $57.69 per hour, depending on experience, location, and employer.

What does a medical review manager do?

A Medical Review Manager oversees the evaluation of medical information, typically within clinical trials or insurance contexts, to ensure compliance with regulations and company standards. They lead teams that review medical documents, patient records, or clinical data to assess safety, efficacy, and adherence to protocols. Additionally, they collaborate with medical professionals, regulatory bodies, and other departments to resolve issues and improve review processes. Their role is crucial in maintaining the quality and accuracy of medical assessments and supporting organizational goals.

What are the key skills and qualifications needed to thrive as a medical review manager?

To thrive as a Medical Review Manager, you need a solid background in healthcare or life sciences, experience in clinical or medical review, and often a relevant degree such as RN, MD, or PharmD. Familiarity with regulatory guidelines, medical coding systems, and tools like MedDRA or clinical trial management software is typically required. Strong analytical thinking, attention to detail, and effective communication are essential soft skills for success in this role. These competencies ensure accurate medical evaluations, regulatory compliance, and seamless collaboration with cross-functional teams.

What are the typical challenges faced by a medical review manager when collaborating with cross-functional teams?

Medical Review Managers often collaborate with clinical, regulatory, and safety teams, which can present challenges such as aligning differing priorities and timelines. Effective communication and strong organizational skills are crucial to ensure that all stakeholders are updated and that the review process runs smoothly. Navigating complex regulatory requirements and integrating feedback from multiple departments can also require adaptability and diplomatic problem-solving. Building strong relationships across teams helps streamline workflows and supports successful project outcomes.

What is the difference between Medical Review Manager vs Medical Reviewer?

AspectMedical Review ManagerMedical Reviewer
CertificationsMedical license, possibly additional certifications in clinical reviewMedical license, often with specific clinical review certifications
Work EnvironmentOversees review teams, manages processes, and ensures compliancePerforms clinical reviews, evaluates medical records and claims
Employer & Industry UsageInsurance companies, healthcare organizations, government agenciesInsurance companies, healthcare providers, third-party review organizations

The Medical Review Manager typically supervises review teams and manages review processes, requiring leadership skills and extensive clinical knowledge. In contrast, the Medical Reviewer focuses on conducting detailed medical evaluations and assessments. Both roles require medical licensure and clinical expertise, but the Manager has additional responsibilities in oversight and process management.

How to become a medical review manager?

To become a medical review manager, candidates typically need a medical degree such as a medical doctor (MD) or registered nurse (RN) license, along with experience in healthcare or medical claims review. Strong analytical skills, knowledge of medical coding and documentation, and familiarity with healthcare regulations are essential, and some roles may require certification such as Certified Medical Review Officer (CMRO).
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Medical Review Manager jobs near you

Medical Review Manager

Saratoga Medical Center

Catonsville, MD • On-site

Full-time

Re-posted 29 days ago

Job description

Saratoga Medical has an immediate opening for a Medical Review Manager for a program supporting the Centers for Medicare and Medicaid Services (CMS) in Catonsville, MD. The work hours are Monday to Friday from 8:30 am to 5:00 pm.

Qualifications:

* Board Certified in Nursing and licensed to practice nursing in the U.S. and a currently licensed RN

* Minimum of five years of experience practicing as an RN in either an acute hospital, skilled nursing facility, or an office/clinic-based medical practice

* Minimum of two years of experience of supervisory experience with Medicare's program coverage and payment rules

* Experience in MR processes of Medicare Administrative Contractors (MACs), CERT, Supplemental Medical Review Contractor (SMRC), or Railroad Retirement Board (RRB) MAC is preferred

Responsibilities:

*Supervise the Nurse Review staff

* Development, oversight, and implementation of the CERT accuracy medical review processes while supervising the medical review nurses

* Collaborate with the Program Manager, CMD, and other contract staff


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.