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Medical Review Officer Jobs (NOW HIRING)

The Medical Review Officer acts as a gatekeeper and advocate for the accuracy and integrity of First Advantage MRO's drug testing review process. * Communicates with donors and laboratories in order ...

Current Medical Review Officer (MRO) certification (AAMRO or MROCC). * Current DOT FMCSA Certified Medical Examiner (CDME) certification, or willingness to obtain certification upon hire. * Minimum ...

$200 - $250/hr

Current Medical Review Officer (MRO) certification (AAMRO or MROCC). * Current DOT FMCSA Certified Medical Examiner (CDME) certification. * Minimum of 10 years of clinical experience, including ...

Current Medical Review Officer (MRO) certification (AAMRO or MROCC). * Current DOT FMCSA Certified Medical Examiner (CDME) certification, or willingness to obtain certification upon hire. * Minimum ...

Current Medical Review Officer (MRO) certification (AAMRO or MROCC). * Current DOT FMCSA Certified Medical Examiner (CDME) certification, or willingness to obtain certification upon hire. * Minimum ...

MRO Assistant

Lexington, KY · On-site

$17.75 - $22.50/hr

Summary BHMG Lexington Occupational Medicine Newton Pike The Medical Review Officer Assistant is an individual who assists the Medical Review Officer, Clients, Staff Members and patients by ...

MRO Assistant

Lexington, KY

$17.75 - $22.50/hr

Summary BHMG Lexington Occupational Medicine Newton Pike The Medical Review Officer Assistant is an individual who assists the Medical Review Officer, Clients, Staff Members and patients by ...

MRO Assistant

Charlestown, IN · On-site

$16.25 - $21/hr

The Medical Review Officer Assistant functions as a member of the healthcare team demonstrating knowledge in drug screen collection and breath alcohol collections. Principle Duties And ...

Medical Review Officer Medical review officer (MRO) means a licensed physician who has knowledge of substance abuse disorders, laboratory testing procedures and chain of custody collection procedures ...

Assistant Medical Director

Brooklyn, NY · Hybrid

$212K - $217K/yr

The incumbent will need to be a certified medical review officer, within 3 months of hire, who will review drug test results in compliance with DOT regulations and agency policies. In conjunction ...

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Medical Review Officer information

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$21K

$92.6K

$178K

How much do medical review officer jobs pay per year?

As of Sep 9, 2026, the average yearly pay for medical review officer in the United States is $92,555.00, according to ZipRecruiter salary data. Most workers in this role earn between $84,500.00 and $84,500.00 per year, depending on experience, location, and employer.

What is a medical review officer?

Medical Review Officers (MROs) are licensed physicians responsible for reviewing and evaluating drug test results in workplace and other regulated settings. They ensure the accuracy and integrity of the drug testing process by verifying laboratory results and determining if there are legitimate medical explanations for positive test findings. MROs also communicate with employees about their test results and maintain confidentiality throughout the process. Their role is essential in ensuring compliance with federal and organizational drug testing policies.

What does a medical review officer do?

As a medical review officer, or MRO, your responsibilities are to review test results from a lab that conducts drug testing on behalf of a company, an athletic competition, or a state organization, such as a department of transportation. Your duties are to analyze and verify the lab results, as well as help ensure its accuracy. You work as an objective party to attest to the sanctity of the process and describe the results to employers. When tests come back positive, you may perform further investigative work to determine whether there is a legitimate reason for a positive result.

What are the key skills and qualifications needed to thrive as a medical review officer, and why are they important?

To thrive as a Medical Review Officer, you need a valid medical degree (MD or DO), licensure, and expertise in toxicology or occupational medicine. Familiarity with drug testing procedures, laboratory information management systems (LIMS), and relevant certifications such as MROCC or AAMRO are typically required. Strong attention to detail, confidentiality, and effective communication skills help you navigate sensitive health information and interact with employers and laboratories. These skills ensure accurate review of drug test results, regulatory compliance, and trustworthy decision-making in workplace drug testing programs.

How does a medical review officer (MRO) typically collaborate with laboratories and employers during the drug testing process?

A Medical Review Officer acts as an independent and confidential intermediary between testing laboratories and employers. When a laboratory identifies a non-negative drug test result, the MRO reviews the findings, interviews the employee to verify any legitimate medical explanations, and ensures the accuracy and integrity of the process. MROs communicate final verified results to employers while maintaining strict confidentiality, often coordinating with human resources or safety departments. This role requires strong attention to detail, adherence to regulatory guidelines, and effective communication with multiple stakeholders.

What is the difference between Medical Review Officer vs Drug Testing Coordinator?

AspectMedical Review OfficerDrug Testing Coordinator
CertificationsMedical license, MRO certificationTypically no medical license, certification varies
Work EnvironmentHealthcare, laboratories, clinicsWorksites, testing labs, HR departments
Industry UsageHealthcare, DOT drug testing programsWorkplace drug testing programs
Job FocusReviewing and interpreting drug test resultsManaging drug testing logistics and compliance

The Medical Review Officer primarily reviews and interprets drug test results, requiring medical credentials and working within healthcare or laboratory settings. In contrast, the Drug Testing Coordinator manages the logistics and compliance of drug testing programs in workplaces. While both roles are involved in drug testing, the MRO's focus is on result analysis, whereas the Coordinator handles program administration.

What cities are hiring for Medical Review Officer jobs?

Cities with the most Medical Review Officer job openings:

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

The most popular types of Medical Review Officer jobs are:

Who are the top companies hiring for Medical Review Officer jobs?

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What states have the most Medical Review Officer jobs?

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What are popular job titles related to Medical Review Officer jobs?

For Medical Review Officer jobs, the most frequently searched job titles are:

Infographic showing various Medical Review Officer job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $92,555 per year, or $44.5 per hour.

Medical Review Officer

Atlanta, GA • On-site

$250/hr

Other

Medical, Dental, PTO

Posted 18 days ago


Job description

At First Advantage (Nasdaq: FA), people are at the heart of everything we do. From our customers and partners to our greatest advantage — our team members. Operating with empathy and compassion, First Advantage fosters a global inclusive workforce devoted to the diverse voices that make up our talent and products. Our team members empower each other to be their authentic selves and treat all with respect, integrity, and fairness. Say hello to a rewarding career and come join a leading provider of mission-critical background screening solutions to some of the most recognized Fortune 100 and Global 500 brands. *Candidates must reside in Mexico and be authorized to work in Mexico*

Job Description

The Medical Review Officer acts as a gatekeeper and advocate for the accuracy and integrity of First Advantage MRO’s drug testing review process.

  • Communicates with donors and laboratories in order to determine if legitimate explanations exist for substance abuse test results that are confirmed to be positive, adulterated, or invalid.
  • Downgrades or cancels drug tests under appropriate circumstances.
  • Provides quality assurance review of the testing process based on industry knowledge and expertise.
  • Interpret and report results of drug testing for Department of Transportation (DOT), federal, and non-DOT clients consistent with Federal and DOT statutes and regulations and/or First Advantage MRO’s written Standard Operating Procedures.
  • Review documentation for possible errors, interview donors who have non-negative results over the phone and determine if a legitimate medical explanation exists to explain a non-negative lab report.
  • Provide feedback to laboratory and collection site representatives regarding performance problems, as needed.
  • Includes auditing DOT negative Custody and Control Forms quarterly.
  • Provide feedback to clients and tested persons on problem cases.
  • Consult with federal agency representatives on issues.
  • Provide information to federal agency representatives on reviewed cases.
  • Provide expert witness testimony, as required.
  • Review and sign-off on administrative documents that require MRO review, such as memorandums to correct errors, prescription faxes, and medical records.
  • Work closely with the Chief MRO and MRO support personnel to safeguard the accuracy and integrity of the medical review process.
  • Suggest improvements to processes and submit new ideas, discuss the functionality of proposed products and potential enhancements, and provide feedback on updates to procedures prior to implementation.
  • Keep up to date on changes in applicable Federal and DOT laws, regulations and state laws, First Advantage's MRO manual updates, technology enhancements, and MRO practices.

The candidate is required to take calls during scheduled hours (currently from 8am to 7 pm CST) for a required 20 hours per week but can work additional hours up to 30 hours per week.

What You May Need to be Successful:Education:
  • Doctor of Medicine (MD) or Osteopathy (DO)
  • Current Medical Review Officer (AAMRO) certification
  • Current license to practice medicine in the United States or Canada
Preferred:
  • ABAM Certification in Addiction Medicine
  • Completion of the ASAM Review Course in Addiction Medicine
Experience:
  • 1 to 3 years of medical training and/or practice in interpreting and evaluating drug test results
  • Preferred 1 to 3 years of experience working as an MRO
  • Preferred documented experience in providing expert witness testimony
Other Knowledge, Skills, Abilities or Certifications:
  • Issues relating to adulterated, substituted, and invalid specimens
  • Downgrading and cancellation of test processes
  • Department of Transportation (DOT) guidelines for MRO’s and applicable DOT agency regulations
  • Collection processes, and laboratory practices and protocols
  • Alternate medical explanations for positive drug test results

Equal Employment Opportunities at First Advantage First Advantage is an equal opportunity employer. We are committed to providing a workplace and recruitment process that is free from unlawful discrimination, harassment, and retaliation. Employment decisions at First Advantage are based solely on qualifications, merit, and business needs. We do not discriminate in any aspect of employment on the basis of race, color, national origin, ancestry, citizenship, religion, creed, sex, gender identity, gender expression, sexual orientation, marital or family status, pregnancy, age, physical or mental disability, medical condition, genetic information, veteran or military status, or any other characteristic protected by applicable law.

First Advantage is a leading provider of global software and data in the HR technology industry. Enabled by its proprietary technology and AI, First Advantage’s platforms, data, and APIs power comprehensive employment background screening, digital identity solutions, and verification services. With a strong emphasis on innovation, automation, and customer success, First Advantage empowers 80,000 organizations to hire smarter and onboard faster. Headquartered in Atlanta, Georgia, First Advantage serves customers in over 200 countries and territories, modernizing hiring and onboarding on a global scale.

Ready to make an impact and shape the future of trust in the workplace? Explore opportunities and join our team. As an award-winning global leader in identity and workforce solutions, First Advantage delivers fast, reliable screening and ongoing monitoring at every stage of the employee lifecycle. Join us and help shape the future of trust, guided by our values: Authenticity Curiosity Integrity Teamwork Customer-inspired Be a part of the growth, innovation, and impact we’re building at First Advantage!

Professional development opportunities, such as our award-winning SOAR program Generous Paid Time Off Program* Volunteer Time Off (VTO) Policy to encourage involvement in philanthropic activities* Competitive benefits (medical, dental, etc.)* Global Employee Assistance Program (EAP) available to all team members Opportunities to connect with colleagues across six Employee Impact Groups and participate in Employee Experience events throughout the year *Must meet hourly work requirement to be eligible

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