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Medical Review Manager Jobs (NOW HIRING)

Medical Review Investigator

Bloomington, MN · On-site

$29.57 - $44.35/hr

  • Medical

  • Retirement

The Medical Review Investigator is responsible for the intake, investigation, and resolution of ... Strong communication and stakeholder management skills. * Proficient in drafting detailed and ...

Medical Review Investigator

Bloomington, MN · On-site

  • Medical

  • Retirement

The Medical Review Investigator is responsible for the intake, investigation, and resolution of ... Strong communication and stakeholder management skills. * Proficient in drafting detailed and ...

Utilization Review Manager

Phoenix, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

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 ...

Clinical Medical Review Nurse. Location: Baltimore, MD. Purpose: * The Clinical Medical Review ... Experience: * 3 years acute clinical experience, previous case management, discharge planning or ...

Utilization Review Manager

Phoenix, AZ

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

Project Review Manager

Harrisburg, PA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Project Review Manager Location: Mechanicsburg, PA Schedule: Monday-Friday, 8:00AM-5:00PM ... Benefits: * Comprehensive Health Insurance options (Medical, Dental, Vision, Accident, Life ...

Utilization Review Manager

Phoenix, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

Utilization Review Manager

Phoenix, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

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 ...

Utilization Review Manager

Grand Rapids, MI · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Responsibilities Benefit Highlights: • Excellent Medical, Dental, Vision and Prescription Drug ... Review Manager. Position Description: The Utilization Manager is responsible for directing and ...

Medical Review Investigator

Bloomington, MN · On-site

  • Medical

  • Retirement

The Medical Review Investigator is responsible for the intake, investigation, and resolution of ... Strong communication and stakeholder management skills. * Proficient in drafting detailed and ...

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 ...

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Medical Review Manager information

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$14

$44

$74

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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States with the most job openings for Medical Review Manager jobs include:

Associate Director, Global Medical Review

Otsuka Pharmaceutical Co., Ltd

Princeton, NJ • On-site

$186 - $279/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

## Associate Director, Global Medical ReviewApplylocations: Princeton, NJtime type: Full timeposted on: Posted Todayjob requisition id: R12728The Associate Director, Global Medical Review provides input into the medical review of safety data for investigational and marketed products. The role is responsible for ensuring high-quality medical review activities, consistency across internal and external reviewers, and compliance with global pharmacovigilance regulations and company procedures.The Associate Director serves as an expert contributor and subject matter expert resource within Global Pharmacovigilance, partnering with Medical Safety Product Leaders, PV Operations, Regulatory Affairs, Clinical Development, Quality, affiliates, and vendors to support patient safety.Demonstrate flexibility and responsiveness by being available on-site, when required, to support critical business activities, cross-functional engagements, audits, inspections, and regulatory interactions.**KEY RESPONSIBILITIES*** Represents the Medical Review as subject matter expert during internal audits, partner audits, and health authority inspections as a subject matter expert, supporting inspection readiness activities and the resolution of inspection findings. This includes preparation of documentation, drafting responses to audit and inspection observations, implementation of CAPAs, and monitoring effective actions related to Medical Review activities.* Supports the implementation of the Medical Review strategy and objectives, ensuring alignment with regulatory requirements, industry best practices, and Global Medical Safety priorities.* Leads or contributors to the development, revision, implementation, and maintenance of Medical Review Standard Operating Procedures (SOPs), Work Practices, Job Aids, and related guidance documents. Identifies and implements process improvements to enhance quality and efficiency.* Provides guidance, training, and feedback to vendor medical reviewers, fostering a culture of accountability, innovation, and professional growth.* Oversees day-to-day medical review activities for Individual Case Safety Reports (ICSRs), ensuring consistency, quality, compliance, and adherence to established performance metrics. Identifies trends and supports corrective and preventive actions where necessary.* Facilitates periodic global Medical Review meetings with internal, affiliate, partner, and vendor medical reviewers to drive alignment, knowledge sharing, and process consistency.* Supports vendor oversight activities for the Medical Review function, including performance monitoring, issue management, and ensuring compliance with company and regulatory expectations.* Monitors and evaluates the safety profile of assigned products through medical assessment of safety data, emerging risks, adverse event trends, and benefit-risk considerations in accordance with global regulatory requirements.* Partners with Medical Safety Product Leaders and provides Medical Review input during safety governance, labeling, and cross-functional discussions involving emerging safety information.* Performs review and approval of the MedDRA coding activities.* Maintains current knowledge of evolving pharmacovigilance regulations, industry standards, and best practices related to signal detection, risk management, and risk communication.* Performs ongoing review and analysis of adverse event data to identify potential safety signals, trends, and areas requiring further assessment.* Escalates significant safety concerns, quality issues, compliance risks, and emerging safety findings through appropriate pharmacovigilance governance channels.* Collaborates closely with PV Operations, Safety Data Management, Compliance Business Management, Medical Safety Product Leaders, and other Global Pharmacovigilance functions.**JOB SCOPE (key facts & figures)*** Being available on-site to support business needs and able to travel, including internationally (up to 15**%**) as required.* Global role which requires after-hours meetings with Japan.**QUALIFICATIONS/ EXPERIENCE REQUIRED****Education and Related Experience*** M.D. from an accredited medical school with at least 5+ years of Safety Surveillance experience in pharmaceutical industry* Experience with both development and product launch/post marketed products.* Experience interacting with global regulatory authorities such as EMA, MHRA, PMDA, Health Canada.* Prior supervisory and vendor oversight experience**Knowledge*** Strong knowledge of global regulatory guidelines pertaining to pharmacovigilance* Strong knowledge of MedDRA and any safety databases* Strong medical background evidenced by clinical training.* Experience supporting interactions with global regulatory authorities and representing inspections* Solid knowledge of Global PV regulations* Knowledge of clinical trials, good clinical practices, and ICH guidelines.* Immunology, Neurology or Rare disease experience is a plus.* Experience working in a global and cross-functional pharma setting.**Skills*** Excellent technical skills, including the ability to comprehend and integrate scientific data from a variety of sources.* Effective communication, strategic thinking and leadership skills.* Strong computer skills with demonstrated experience in working with Microsoft applications (Word, Excel, PowerPoint, Outlook, SharePoint, and Teams).* Knows how/when to apply organizational policy or procedures to a variety of situations.**COMPETENCIES REQUIRED*** Accountability for Results - Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change.* Strategic Thinking & Problem Solving - Make decisions considering the long-term impact to customers, patients, employees, and the business.* Patient & Customer Centricity - Maintain an ongoing focus on the needs of our customers and/or key stakeholders.* Impactful Communication - Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka.* Respectful Collaboration - Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals.* Empowered Development - Play an active role in professional development as a business imperative.**Competencies** **Accountability for Results -** Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change. **Strategic Thinking & Problem Solving -** Make decisions considering the long-term impact to customers, patients, employees, and the business. **Patient & Customer Centricity -** Maintain an ongoing focus on the needs of our customers and/or key stakeholders. **Impactful Communication -** Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka. **Respectful Collaboration -** Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative.Minimum $186,489.00 - Maximum $278,875.00, plus incentive opportunity: The range shown represents a typical pay range or starting pay for individuals who are hired in the role to perform in the United States. Other elements may be used to determine actual pay such as the candidate’s job experience, specific skills, and comparison to internal incumbents currently in role. Typically, actual pay will be positioned within the established range, rather than at its minimum or maximum. This information is provided to applicants in accordance with states and local laws.**Application Deadline**: This will be posted for a minimum of 5 business days.**Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits. #J-18808-Ljbffr