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Medical Review Jobs (NOW HIRING)

Medical Review Nurse - SNF/MDS Auditor

$36.50 - $47.75/hr

The Medical Review Nurse II - SNF/MDS primarily performs Skilled Nursing Facility (SNF) medical claims audit reviews. As a MR Nurse, you will join a team of experienced medical auditors performing ...

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Medical Review information

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$36.5K

$164.7K

$337K

How much do medical review jobs pay per year?

As of Jul 8, 2026, the average yearly pay for medical review in the United States is $164,731.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $268,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medical Reviewer, and why are they important?

To thrive as a Medical Reviewer, you need a strong understanding of clinical medicine, scientific research, and regulatory guidelines, often supported by a medical degree or advanced healthcare qualification. Familiarity with medical databases, regulatory submission systems, and tools like MedDRA coding or CTD formatting is typically required. Attention to detail, analytical thinking, and effective written communication are essential soft skills for reviewing complex documents and collaborating with multidisciplinary teams. These skills ensure accurate, compliant, and high-quality medical evaluations that support regulatory approvals and patient safety.

What is medical review?

Medical review refers to the process of evaluating medical information, records, or claims to ensure accuracy, compliance, and appropriateness based on clinical guidelines and policies. Professionals in medical review often assess documentation for insurance claims, pre-authorization requests, or clinical trials. Their work helps ensure that patients receive appropriate care and that healthcare providers follow industry standards.

How does a Medical Review professional typically collaborate with other departments within a healthcare or insurance organization?

Medical Review professionals frequently work closely with clinical staff, claims adjusters, and compliance teams to ensure that medical records and claims are accurately assessed and meet regulatory standards. Collaboration often involves discussing complex cases, clarifying clinical documentation, and providing guidance on policy interpretation. Effective communication and teamwork are essential, as Medical Review staff often act as a bridge between medical and administrative teams to support fair and thorough claims processing.

How to become a medical reviewer?

To become a medical reviewer, typically a healthcare professional such as a physician, nurse, or pharmacist with relevant clinical experience is required. Candidates often need a medical license, strong knowledge of medical guidelines, and familiarity with medical documentation and review processes. Additional certifications or training in medical coding, compliance, or insurance review can enhance qualifications.

What is the role of a medical reviewer?

A medical reviewer evaluates medical records, claims, and documentation to ensure accuracy, compliance, and appropriate treatment. They often work in insurance, healthcare, or regulatory settings, requiring clinical knowledge and attention to detail to make informed decisions about patient care or claims processing.

What jobs make $3,000 a month without a degree?

Medical review roles, such as medical coders or billers, can pay around $3,000 monthly without requiring a degree, often needing certification and familiarity with healthcare software. Other non-degree jobs that may reach this income level include sales representatives, certain skilled trades, or administrative roles with experience, but these typically require specific skills or certifications. Income varies based on location, experience, and industry demand.

What is the difference between Medical Review vs Medical Coding Specialist?

AspectMedical ReviewMedical Coding Specialist
Required CredentialsMedical degree or clinical background, certifications like CCM or CRCCertification in coding (CPC, CCS), knowledge of coding systems
Work EnvironmentHealthcare facilities, insurance companies, telehealthHospitals, clinics, insurance companies, remote coding
Employer & Industry UsageUsed to assess medical necessity, compliance, and documentationUsed to assign billing codes based on medical records

Medical Review involves evaluating medical records for accuracy, compliance, and appropriateness, often requiring clinical expertise. Medical Coding Specialists focus on translating medical documentation into standardized codes for billing and insurance purposes. While both roles require healthcare knowledge, Medical Review emphasizes clinical assessment, whereas Medical Coding centers on coding accuracy for reimbursement.

What is the 3 month rule for jobs?

In the context of medical review jobs, the 3 month rule often refers to a probationary period during which an employee's performance is closely monitored before full employment benefits or permanent status are granted. This period allows employers to assess the employee's skills, reliability, and fit for the role, which may include tasks like reviewing medical records or ensuring compliance with healthcare regulations.
More about Medical Review jobs
What cities are hiring for Medical Review jobs? Cities with the most Medical Review 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 jobs? States with the most job openings for Medical Review jobs include:

(Senior-) Director Head of Medical Review (Pharmacovigilance)

BioNTech SE

Cambridge, MA • On-site, Remote

$168K - $268K/yr

Other

Posted 5 days ago


Job description

Mainz, Germany; Cambridge, US; Gaithersburg, US; London, United Kingdom; Munich, Germany   |   full time   |   Job ID: 11466 

About the Role:

As the (Senior) Director, Head of Medical Review (Pharmacovigilance), you will play a important role in ensuring the safety and compliance of BioNTech's portfolio. Your expertise will drive the strategic development and continuous improvement of medical review processes for Individual Case Safety Reports (ICSRs). Leading a team of medical review physicians, you will foster an environment of accountability, innovation, and professional growth while ensuring alignment with global regulatory standards. This position offers a unique opportunity to contribute directly to protecting patients and supporting BioNTech's mission.

In this role, you will oversee high-impact activities ranging from medical assessment of critical safety cases to cross-functional collaboration with key departments such as Medical Safety and Global Regulatory Affairs. If you are passionate about pharmacovigilance excellence and have strong leadership capabilities, this is your chance to make a meaningful difference.

Your Contribution:

  • Lead, mentor, and develop a hybrid team of in-house and vendor-based medical review physicians.
  • Oversee high-quality medical assessments of ICSRs, focusing on critical cases such as SUSARs, immune-mediated events, and potential Drug-Induced Liver Injury (pDILI).
  • Drive continuous improvement initiatives to optimize medical review processes for quality, compliance, and operational efficiency.
  • Provide expert guidance on seriousness, causality, expectedness assessments, and regulatory reportability of ICSRs.
  • Establish SOPs and work instructions for consistent medical case reviews across programs.
  • Collaborate cross-functionally with teams like Global Clinical Development and Quality to ensure adherence to global pharmacovigilance standards.
  • Manage vendor relationships by providing onboarding, training, quality oversight, and performance evaluation.

A good Match:

  • Medical degree or advanced life sciences degree; PhD or post-graduate training in pharmacovigilance preferred.
  • 7-10 years of pharmacovigilance experience in biotech or pharmaceutical industries; oncology expertise is advantageous.
  • Leadership experience as a Medical Review Lead or similar position for Senior Director consideration.
  • Comprehensive knowledge of global pharmacovigilance regulations (ICH, GVP) and hands-on experience with ICSR processing.
  • Proficiency in safety databases such as Veeva Vault Safety.
  • Strong communication skills with the ability to convey complex concepts clearly.
  • Excellent English skills.

Your benefits and remuneration:

If the position is filled in the US, the Expected Pay Range for Director is $168,100/year to $268,700/year and Senior Director is $198,900/year to $318,300/year + benefits, annual bonus & equity (bonus and equity is variable and dependent on company and individual performance). Compensation for the role will depend on several factors, including responsibilities of the job, education, experience, knowledge, skills, and abilities. 
Compensation at other locations may vary significantly. 

BioNTech is committed to the wellbeing of our team members and offers a variety of benefits in support of our diverse employee base. We offer competitive remuneration packages which is determined by the specific role, location of employment and also the selected candidate's qualifications and experience.

Note: The availability, eligibility and design of the listed benefits may vary depending on the location. The final requirements for the individual use of our benefits are based on the company's internal policies and applicable law.

How to apply:

Apply now by sending us your application documents including Curriculum Vitae, copy of ID, copies of degree certificates and professional certificates, motivation letter as well as your contact details via our online form.

Please note:

Only applications sent via our online form shall be considered. By submitting your application, you acknowledge that a background check will be conducted as part of the recruitment process in accordance with applicable laws and regulations. If you are considered for the position, BioNTech will conduct the background check through our service provider 'HireRight'. You will be informed accordingly by your BioNTech-Recruiter.

We are looking forward receiving your application.