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Medical Reviewer Writer Jobs (NOW HIRING)

Palmetto GBA, LLC

Demonstrated oral and written communication skills. Analytical or critical thinking skills. Ability ... Medical/Utilization Review, Quality Assurance, Emergency, Critical Care, or Medical/Surgical ...

Peraton

Bilingual Nurse Reviewer - Medicaid

Herndon, VA · On-site

$66K - $106K/yr

Bilingual with ability to speak and write English and Spanish Desirable Qualifications: * Experience in reviewing claims for technical requirements, performing medical review, and/or developing fraud ...

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As of Sep 10, 2026, the average hourly pay for medical reviewer writer in the United States is $46.27, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $56.01 per hour, depending on experience, location, and employer.

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Infographic showing various Medical Reviewer Writer job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $96,235 per year, or $46.3 per hour.

Medical Reviewer (Optometrist) - Remote CA

West Sacramento, CA • Remote

Gainwell Technologies
Health Care and Social Assistance • 10K+ employees
Learn more about Gainwell Technologiesexternal

$100K - $120K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 19 days ago

Gainwell Technologies rating

7.9

Company rating: 7.9 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

130th of 247 rated software companies

Job description

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

Gainwell Technologies is seeking a Medical Reviewer (Optometrist) to provide professional optometric expertise supporting Medical Review Services for California healthcare programs.

Your role in our mission
  • Review optometry-related medical records, claims, Treatment Authorization Requests (TARs), and supporting clinical documentation.
  • Evaluate requested services against applicable medical policies, coverage requirements, and clinical standards.
  • Apply professional optometric expertise when supporting medical necessity and coverage determinations.
  • Document findings and clinical rationale accurately and timely.
  • Refer cases requiring additional clinical review to appropriate medical professionals.
  • Collaborate with clinical and operational partners to resolve review questions.
  • Maintain knowledge of applicable policies and regulatory requirements.
  • Meet established quality, accuracy, productivity, and turnaround-time standards.
What we're looking for
  • Minimum of one (1) year of experience working as an Optometrist.
  • Doctor of Optometry degree from an accredited school of Optometry.
  • Current, non-expired California license to practice as an Optometrist, in good standing.
  • Must not be under suspension from Medicare, Medicaid, or practice in California.
  • Must not have been previously sanctioned for fraud or abuse.
  • Strong oral and written communication skills.
  • Strong clinical judgment and ability to interpret medical records and supporting clinical documentation.
What you should expect in this role
What you should expect in this role
  • Full-time position.
  • Remote work environment.
  • Monday through Friday work schedule.
  • Work primarily from your home office while supporting Medical Review Services for California healthcare programs.
  • Spend the majority of your day reviewing optometry-related medical, clinical, claim, authorization, and supporting documentation.
  • Work independently while collaborating with physicians, nurses, other clinical specialists, operations teams, and business partners.
  • Navigate multiple computer systems and applications to complete reviews, document findings, and support timely determinations.
  • Maintain all professional licenses, certifications, and credentials required for the position in active, unrestricted, and good-standing status.
  • Maintain knowledge of applicable medical policies, coverage requirements, clinical standards, and regulatory guidelines.
  • Meet established quality, accuracy, productivity, and turnaround-time expectations.
  • Receive ongoing training and support related to program requirements, systems, policies, and medical review processes.
  • Travel requirement: 0-10%.

This position is being posted for pipeline purposes, and we welcome applications on an ongoing basis.

#LI-REMOTE

#LI-MA1

The pay range for this position is $100,000 - $120,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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