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Medical Reviewer Jobs (NOW HIRING)

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.

As a casual Medical Review Specialist III (Medical Reviewer III) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for ...

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for Diagnosis ...

Director, Medical Reviewer

Cambridge, MA · On-site

$139.86 - $145/hr

The Director, Medical Review supports Global Pharmacovigilance with an emphasis on overseeing medical assessment of individual case safety reports from investigational and marketed product across all ...

As a casual Medical Review Specialist III (Medical Reviewer III) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for ...

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for Diagnosis ...

As a casual Medical Review Specialist III (Medical Reviewer III) you will primarily perform Medicare comprehensive medical record and claims review to make payment determinations for Medicare PART A.

Summary Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. Documents ...

Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. Note: Position does not provide direct patient care or medical ...

Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for ...

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Medical Reviewer information

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$42

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How much do medical reviewer jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for medical reviewer in the United States is $42.06, according to ZipRecruiter salary data. Most workers in this role earn between $22.84 and $54.09 per hour, depending on experience, location, and employer.

How does a Medical Reviewer typically collaborate with other departments during the drug approval process?

Medical Reviewers work closely with cross-functional teams, including clinical research, regulatory affairs, pharmacovigilance, and biostatistics. They review clinical trial data, ensure documentation complies with regulatory standards, and provide medical expertise during regulatory submissions. Effective communication is essential, as Medical Reviewers often participate in multidisciplinary meetings to address queries and ensure consistency in data interpretation throughout the approval process.

What Does a Medical Reviewer Do?

As a medical reviewer, your primary responsibilities are to review medical records to ensure accuracy. You address any issues or errors that you find with your supervisor’s assistance and contact medical providers to update information about patients. You may also audit medical files to determine whether the medical provider’s documentation complies with all federal and state regulations that affect accreditation, or if the facility qualifies for specific federal funding or participation in programs like Medicare. Medical reviewers most commonly work for an internal department at a hospital, medical care facility, or an outside organization, such as an insurance company or government agency.

What is a medical reviewer?

A medical reviewer is a healthcare professional, often a licensed physician or nurse, responsible for evaluating medical information, claims, or documentation to ensure accuracy, compliance, and quality. They typically review patient records, insurance claims, or clinical data and may use medical guidelines and coding systems in their assessments.

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 thorough understanding of medical terminology, clinical research, and regulatory guidelines, usually backed by a medical or pharmacy degree. Familiarity with tools like MedDRA, safety databases, and document management systems, as well as certifications in pharmacovigilance, are commonly required. Strong analytical skills, attention to detail, and effective written communication set standout professionals apart in this role. These skills ensure accurate evaluation of medical documents, regulatory compliance, and the safety of patients participating in clinical trials.

What is the difference between Medical Reviewer vs Medical Writer?

AspectMedical ReviewerMedical Writer
Required CredentialsMedical degree (MD, DO, PharmD), licensure often preferredBackground in life sciences, writing skills, often with a degree in related fields
Work EnvironmentPharmaceutical companies, CROs, regulatory agencies, hospitalsPharmaceutical companies, marketing agencies, publishing firms
Employer & Industry UsageReview clinical data, regulatory documents, ensuring accuracyCreate scientific content, clinical study reports, marketing materials

Medical Reviewers primarily verify the accuracy and compliance of clinical and regulatory documents, requiring medical credentials. Medical Writers focus on creating clear, accurate scientific content, often with a background in life sciences. Both roles are essential in the healthcare and pharmaceutical industries but serve different functions in the documentation process.

What cities are hiring for Medical Reviewer jobs? Cities with the most Medical Reviewer job openings:
What are the most commonly searched types of Medical Reviewer jobs? The most popular types of Medical Reviewer jobs are:
Who are the top companies hiring for Medical Reviewer jobs? The top employers for Medical Reviewer jobs are:
What states have the most Medical Reviewer jobs? States with the most job openings for Medical Reviewer jobs include:
Endocrinology -Independent Medical Reviewer

Endocrinology -Independent Medical Reviewer

Managed Medical Review Organization

Remote

Contractor

Posted 22 days ago


Job description

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. We are currently seeking Board-Certified Endocrinology Physicians to join our network of sub-contracted Physician Reviewers.

Responsibilities
  • Conduct comprehensive and objective medical chart reviews with honesty and integrity.
  • Produce determinations that are clear, concise, and well-supported by evidence.
  • Follow MMRO’s review templates, ensuring all required elements are complete and accurate.
  • Communicate findings in a professional manner using appropriate language and grammar.
  • Complete assigned reviews within the specified deadlines.
  • Respond promptly to communications from MMRO staff.
  • Review and comply with corporate training materials and review standards.
  • Be receptive to constructive feedback from MMRO’s Medical Director, Associate Medical Director, and Clinical Staff.
  • Contribute ideas for process improvement and quality enhancement.

Qualifications
  • Licensure: Current, non-restricted license to practice medicine in any U.S. state or territory, specifically KENTUCKY medical state license.
  • Board Certification: Maintained certification by a board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA).
  • Experience:
    • Minimum of five (5) years full-time equivalent experience (37.5–40 hours per week) providing direct clinical care to patients.
    • Current clinical experience within the past three (3) years.
  • Location: Must be physically located within the United States or its territories while conducting reviews.

Why Partner with MMRO
  • Flexible, remote contract opportunity.
  • Set your own schedule and case volume.
  • Collaborate with an experienced and supportive clinical and operations team.
  • Contribute to fair, evidence-based determinations that support quality healthcare decisions.

Join MMRO’s network of expert physician reviewers and make an impact through clinical excellence and integrity.
 

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