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Medical Review Manager Jobs in Ohio (NOW HIRING)

Harris

Remote Care Management - CMA

New Hampshire, OH · Remote

Esrun Health is seeking Medical Assistants to work part-time from their home office as independent ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

CareSource

Medical Director

Dayton, OH · On-site +1

$195K - $341K/yr

Managed care medical review/medical director experience is preferred * Bachelor's or Master ... degree in Business Administration, Operational Excellence, Healthcare Administration or Medical ...

CareSource

Medical Director

Dayton, OH · On-site +1

$195K - $341K/yr

Managed care medical review/medical director experience is preferred * Bachelor's or Master ... degree in Business Administration, Operational Excellence, Healthcare Administration or Medical ...

CareSource

Medical Director

Dayton, OH · On-site +1

$195K - $341K/yr

Managed care medical review/medical director experience is preferred * Bachelor's or Master ... degree in Business Administration, Operational Excellence, Healthcare Administration or Medical ...

CareSource

Medical Director

Dayton, OH · On-site +1

$195K - $341K/yr

Managed care medical review/medical director experience is preferred * Bachelor's or Master ... degree in Business Administration, Operational Excellence, Healthcare Administration or Medical ...

Harris

Remote Care Management - CMA

Delaware, OH · Remote

Esrun Health is seeking Medical Assistants to work part-time from their home office as independent ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

OhioHealth

Occupational Medicine Physician

Columbus, OH · On-site

... Managers, LPN Supervisor, clinical support, and office specialists * Competitive salary and bonus ... Medical Review Officer and Independent Medical Examiner certification and stress testing experience ...

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Medical Review Manager information

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).

What are the most commonly searched types of Medical Review jobs in Ohio?

The most popular types of Medical Review jobs in Ohio are:

What are popular job titles related to Medical Review Manager jobs in Ohio?

For Medical Review Manager jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Medical Review Manager jobs in Ohio look for?

The top searched job categories for Medical Review Manager jobs in Ohio are:

Medical Review Manager jobs near you

Neuropsychologist- Medical Evaluator

Managed Medical Review Organization

Dayton, OH • On-site

Contractor

Re-posted 5 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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