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Medical Review Manager Jobs (NOW HIRING)

Elevance Health

Medical Review Analyst II

Costa Mesa, CA · On-site

$22.50 - $40.51/hr

Medical Review Analyst II Medical Review Analyst II Location : Any Elevance Health PulsePoint ... Serves as a liaison between medical management and/or service operations and other internal ...

Empower AI Inc.

Review medical documentation for medical necessity utilizing clinical knowledge and Center for ... Organization and time management skills * Knowledge of and ability to use Microsoft Excel and word ...

ERC Pathlight

Utilization Review Manager

Aspen, CO · Hybrid

As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review ... medical record for discussion with licensed mental health counselors and social workers and RNs at ...

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited Independent Review Organization (IRO) that provides objective, evidence-based medical peer reviews nationwide.

Empower AI Inc.

Medical Review Specialist V

Review medical documentation for medical necessity utilizing clinical knowledge and Center for ... Organization and time management skills * Knowledge of and ability to use Microsoft Excel and word ...

Elevance Health

Medical Review Analyst II

Norfolk, VA · On-site

$22.50 - $40.51/hr

Medical Review Analyst II Medical Review Analyst II Location : Any Elevance Health PulsePoint ... Serves as a liaison between medical management and/or service operations and other internal ...

ERC Pathlight

Utilization Review Manager

Aspen, CO · On-site

$93K - $117K/yr

As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review ... We offer competitive compensation; comprehensive medical, dental, and vision coverage; generous ...

Elevance Health

Medical Review Analyst II

Roanoke, VA · On-site

$22.50 - $40.51/hr

Medical Review Analyst II Medical Review Analyst II Location : Any Elevance Health PulsePoint ... Serves as a liaison between medical management and/or service operations and other internal ...

Empower AI Inc.

Review medical documentation for medical necessity utilizing clinical knowledge and Center for ... Organization and time management skills * Knowledge of and ability to use Microsoft Excel and word ...

Peraton

Medical Review Nurse

$66K - $106K/yr

Ability to apply Federal, State and Managed Care Organization (MCO) regulations to claims under ... Experience in reviewing claims for technical requirements, performing medical review, and/or ...

Novacore

Medical Review Nurse

Conshohocken, PA · On-site

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 ...

Elevance Health

Medical Review Analyst II

Los Angeles, CA · On-site

$22.50 - $40.51/hr

Medical Review Analyst II Medical Review Analyst II Location : Any Elevance Health PulsePoint ... Serves as a liaison between medical management and/or service operations and other internal ...

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 ...

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Medical Review Manager information

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How much do medical review manager jobs pay per hour?

As of Jun 12, 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 much do medical reviewers make in the US?

Medical Review Managers in the US typically earn between $70,000 and $120,000 annually, depending on experience, location, and employer. They often require clinical credentials and strong knowledge of healthcare regulations, with some roles offering additional benefits or bonuses.

Is being a MOA a good entry level job?

Medical Office Assistants (MOAs) often serve as entry-level roles in healthcare settings, providing administrative and clinical support. The position typically requires basic medical knowledge, good communication skills, and sometimes certification, making it suitable for individuals starting their healthcare careers. However, career advancement may require additional training or education.

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.

How do you become a medical reviewer?

To become a medical reviewer, typically one needs a medical degree such as an MD or DO, along with clinical experience in a relevant specialty. Additional qualifications may include familiarity with medical coding, documentation, and review processes, as well as strong analytical skills and attention to detail. Certification or training in medical review or coding can also enhance prospects in 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 jobs pay 2000 a day?

High-paying jobs such as Medical Review Managers, specialized surgeons, anesthesiologists, and certain senior executives can earn around $2,000 or more per day, often due to extensive experience, certifications, and demanding responsibilities. These roles typically require advanced education, licensure, and significant expertise in their fields.
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
Infographic showing various Medical Review Manager job openings in the United States as of June 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $92,054 per year, or $44.3 per hour.
Coordinator-Medical Review

Coordinator-Medical Review

Loma Linda University Health

Loma Linda, CA • On-site

Other

Posted 27 days ago

Loma Linda University Health rating

8.1

Company rating: 8.1 out of 10

Based on 86 frontline employees who took The Breakroom Quiz

110th of 998 rated hospitals

Job description

Department: UHC: Workers Compensation

Job Summary: The Medical Review Coordinator manages the authorization process for work comp specialty and ancillary referrals.  Provide assistance to clinical and front office staff with authorization related issues, assists patients with referral and insurance issues ensuring authorization is obtained for office visits and/or office procedures.  Populates the Workers' Compensation forms with the history of present illness, medical history, and review of systems.  Drafts the impairment rating for the medical provider's review.  Performs other duties as needed. 
Education and Experience: High School diploma or GED.  Three years of workers' compensation experience required. Previous editing and historian experience preferred, especially with medical-legal recording to AOE/COE/QME/AME. Authorization procurement experience preferred.
Knowledge and Skills: Intimate knowledge of workers' compensation guidelines and regulations. Knowledge of CPT and ICD codes preferred. In-depth medical terminology knowledge. Able to keyboard 30 wpm. Able to use a computer, printer, and software programs such as Microsoft Office Word and Outlook. Operate/troubleshoot basic office equipment required for the position. Able to work calmly and respond courteously when under pressure; collaborate and accept direction. Able to think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: None

Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.
Loma Linda University Health is a Seventh-day Adventist, faith and values based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities.

We are an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Management at (909) 651-4001.

Loma Linda University Health Care is a religiously-qualified Equal Opportunity Employer under Title VII of Civil Rights Act of 1964. No question on this application is asked for the purpose of unlawfully limiting or excluding any applicant's consideration for employment because of race, color, religion, gender, age, national origin, disability, genetic information, or any other status protected by applicable law. If you need a reasonable accommodation in the hiring process, please notify Human Resource Management.

We appreciate your interest in Loma Linda and wish you success in your job search!

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About Loma Linda University Health

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Loma Linda University Health (LLUH) is an esteemed healthcare organization situated in Loma Linda, California, US. Established in 1905, it was initially known as the College of Medical Evangelists, and it operated as the official medical institution of the Seventh-day Adventist Church until the name was changed to LLUH in 1961. LLUH is very much active in the healthcare and education sectors, providing a vast range of services such as medical treatment, research, and health education. The organization’s core mission is "to continue the teaching and healing ministry of Jesus Christ", which underlines its binding values of compassion, integrity, excellence, freedom, and justice.

Industry

Health care and social assistance and hospitality services

Company size

10,000+ Employees

Headquarters location

Loma Linda, CA, US

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