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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

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 ...

i3logix

Medical Review Specialist

Denver, CO · On-site

$21/hr

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

Indianapolis, IN · On-site

$19/hr

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.

AstraZeneca

Senior Manager, US Medical Review

Boston, MA · On-site

$116K - $175K/yr

The Senior Manager, US Medical Review will sustain and promote Alexion's professional standing and integrity amongst patients, health care professionals and the pharmaceutical / biotech industry by ...

Argenx

Sr Manager, Medical Review Operations

The Senior Manager, Medical Review Operations is responsible for driving operational excellence and strengthening community coordination and cross-functional collaboration across Medical Affairs and ...

MedWatch, LLC

Medical Review Specialist/RN

$64K - $68K/yr

Good organizational skills and time management * Excellent verbal and written communication skills ... The Medical Review Specialist will identify her/himself by first name, title, and organization name ...

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 ...

RELI GROUP INC

Medical Review Nurse III

Baltimore, MD · Remote

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 ...

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Medical Review Manager information

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How much do medical review manager jobs pay per hour?

As of Jul 8, 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.

How to become a medical reviewer?

To become a medical reviewer, typically a healthcare professional such as a physician, nurse, or pharmacist with clinical experience is required. Candidates often need a valid medical license, relevant certifications, and familiarity with medical records and insurance policies. Gaining experience in medical documentation, coding, or claims review can also be beneficial.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative and clinical skills. It provides experience in medical environments and can serve as a stepping stone to more advanced healthcare roles, but it may involve repetitive tasks and limited responsibilities initially.

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 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.

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

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 is the highest paying job in healthcare management?

In healthcare management, the highest paying roles are typically executive positions such as Chief Executive Officer (CEO) or Chief Operating Officer (COO) of large healthcare organizations, with salaries often exceeding $200,000 annually. These roles require extensive experience, strong leadership skills, and often advanced degrees like an MBA or healthcare administration certification.

What skills do you need to be a medical reviewer?

A medical review manager needs strong clinical knowledge, attention to detail, and the ability to interpret medical records and documentation accurately. Excellent communication skills, familiarity with healthcare regulations, and proficiency with medical review tools or software are also important. Certifications such as a medical license or relevant credentials can enhance qualifications for this role.

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 cities are hiring for Medical Review Manager jobs? Cities with the most Medical Review Manager 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 Manager jobs? States with the most job openings for Medical Review Manager jobs include:
Medical Review Manager jobs near you
Medical Review Manager

Medical Review Manager

Saratoga Medical

Catonsville, MD • On-site

Other

Re-posted 13 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.

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