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Medical Review Manager Jobs in Silver Spring, MD

Harris

Remote Care Management - CMA

Washington, DC · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

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 ...

J29 Inc.

Medical Reviewer, Coder

Millersville, MD · On-site +1

$18.25 - $24.25/hr

... management consulting company. Our team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and ...

Serco

Medical Record Clerk

Herndon, VA · On-site

$16.50 - $20.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... review of claims to identify improper payments and measure program performance. The insights ... Perform other duties as assigned by the Medical Records Manager To be successful in this role, you ...

LifeHealth

RN - Nurse Support

Springfield, VA

Minimum of two (2) years of direct and relevant experience in occupational health, employee case management, and medical review processes, including experience with FFD evaluations and review of ...

Lifehealth LLC

RN - Nurse Support

Springfield, VA · On-site

$51.77/hr

Minimum of two (2) years of direct and relevant experience in occupational health, employee case management, and medical review processes, including experience with FFD evaluations and review of ...

LifeHealth

Nurse Practitioner

Arlington, VA

Proficient in employee case management coordination, with a primary focus on utilizing medical knowledge and organizational protocols in reviewing externally assessed employee medical records and ...

Maximus

Consultant - Medical (Case Reviewer 2)

VA · On-site +1

  • Medical

  • Life

  • Retirement

  • PTO

... Review, organize and identify all medical records provided for workers comp cases. - Other duties as assigned by management. Minimum Requirements - Bachelor's degree with 3-5 years of experience ...

LifeHealth

RN - Nurse Support

Springfield, VA · On-site

Minimum of two (2) years of direct and relevant experience in occupational health, employee case management, and medical review processes, including experience with FFD evaluations and review of ...

Lifehealth LLC

Nurse Practitioner

Arlington, VA · On-site

$130K/yr

... management, including experience in medical review, fitness for duty evaluations, and review of complex medical determinations. • Must not have been convicted of, pled guilty to, pled nolo ...

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All JobsMedical Review JobsMedical Review Manager JobsMedical Review Manager Jobs in Silver Spring, MD

Medical Review Manager information

See Silver Spring, MD salary details

$15

$45

$76

How much do medical review manager jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for medical review manager in Silver Spring, MD is $45.75, according to ZipRecruiter salary data. Most workers in this role earn between $29.81 and $59.66 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).

What are popular job titles related to Medical Review Manager jobs in Silver Spring, MD?

For Medical Review Manager jobs in Silver Spring, MD, the most frequently searched job titles are:

What job categories do people searching Medical Review Manager jobs in Silver Spring, MD look for?

The top searched job categories for Medical Review Manager jobs in Silver Spring, MD are:

What cities near Silver Spring, MD are hiring for Medical Review Manager jobs?

Cities near Silver Spring, MD with the most Medical Review Manager job openings:

Medical Review Manager jobs near you

Nurse Practitioner - Medical Case Review - Springfield, VA

Prime Physicians

Springfield, VA • On-site

Other

Posted 12 days ago

Job description

Job Title: Nurse Practitioner - Medical Case Review
Specialty: Occupational Health / Advanced Case Management / Fitness-for-Duty & Complex Medical Determinations
Place of Work (City/State): Remote - must reside within local commuting distance Springfield, VA (minimum 1 day per week onsite required after the first month onsite training
Duration: One year (options for 6 months contract) + extendable
Start Date: October 2026
Shift Schedule:
  • Core business hours: Monday-Friday, 9:00 a.m. - 3:00 p.m.
  • First month: onsite training, 8 hours/day
  • Steady state: hybrid remote/onsite, minimum 1 day/week onsite
  • Additional onsite attendance as requested by OCMO (local, non-reimbursable travel)
How Many Shifts Needed Per Month: Approximately 20-22 working days/month
License: Active, unrestricted license as a Nurse Practitioner in Virginia, or multistate licensure
Certifications: Current NP board certification consistent with MSN/DNP
Experience Needed: Minimum 5 years of direct, relevant experience in clinical practice, occupational health, and advanced case management, including experience in medical review, fitness-for-duty evaluations, and review of complex medical determinations
Special Skills Needed:
  • Strong clinical judgment for complex/abnormal/non-standard case review
  • Experience with electronic medical record review platforms
  • Strong written documentation skills for case files and determination summaries
  • Ability to meet high-volume production standards and 24-hour response requirements
  • Comfortable coordinating with government clinical leadership (Chief Medical Officer) on escalations
Credentialing / Onboarding Time: Approximately 50 days
Responsibilities:
Review and adjudicate TSO applicant and reinstatement medical examination records, issuing pass/fail medical recommendations as part of a team averaging 300 medical recommendations processed per day. Conduct Fitness-for-Duty evaluations and collaborate with the TSA Chief Medical Officer on abnormal, complex, or non-standard cases and complex medical determinations. Support AMC questionnaire reviews, ad hoc FMLA record reviews, and EEO case support (including fact-witness participation, if requested).
Misc:
  • Government-Furnished Equipment (GFE) provided
  • NP role is limited to recommendation, documentation, and coordination

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