Prepare content for submission through legal, regulatory, and medical review processes in collaboration with cross-functional partners, utilizing the Vault PromoMats system. Maintain version control ...
Prepare content for submission through legal, regulatory, and medical review processes in collaboration with cross-functional partners, utilizing the Vault PromoMats system. Maintain version control ...
Prepare content for submission through legal, regulatory, and medical review processes in collaboration with cross-functional partners, utilizing the Vault PromoMats system. Maintain version control ...
Prepare content for submission through legal, regulatory, and medical review processes in collaboration with cross-functional partners, utilizing the Vault PromoMats system. Maintain version control ...
Physician / Neurology / California / Permanent / Associate Medical Director - Neurology - 100% Remot
Riverside, CA · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with ...
Physician / Neurology / California / Permanent / Associate Medical Director - Neurology - 100% Remot
Riverside, CA · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with ...
Physician / Cardiology / California / Permanent / Associate Medical Director - Cardiology - 100% Rem
Riverside, CA · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with ...
Physician / Cardiology / California / Permanent / Associate Medical Director - Cardiology - 100% Rem
Riverside, CA · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with ...
Physician / Oncology - Radiation / California / Permanent / Associate Medical Director - Radiation O
Riverside, CA · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with ...
Physician / Oncology - Radiation / California / Permanent / Associate Medical Director - Radiation O
Riverside, CA · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with ...
Physician / Gastroenterology / California / Permanent / Associate Medical Director - Gastro - 100% R
Riverside, CA · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with ...
Physician / Gastroenterology / California / Permanent / Associate Medical Director - Gastro - 100% R
Riverside, CA · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with ...
Physician / Other / California / Permanent / Associate Medical Director - Maternal Fetal - 100% Remo
Riverside, CA · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with ...
Physician / Other / California / Permanent / Associate Medical Director - Maternal Fetal - 100% Remo
Riverside, CA · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with ...
Prepare, review, and submit clean and accurate medical claims to commercial insurance companies, Medicare, Medicaid/Medi-Cal, and other payers. * Verify patient demographics, insurance eligibility ...
Quick apply
Prepare, review, and submit clean and accurate medical claims to commercial insurance companies, Medicare, Medicaid/Medi-Cal, and other payers. * Verify patient demographics, insurance eligibility ...
Medical Director
Pomona, CA · On-site
$273K - $348K/yr
Review a set number of charts for each provider; this number will vary based on experience and credentials of the provider and will be determined by the Medical Director. * When certain forms or ...
Medical Director
Pomona, CA · On-site
$273K - $348K/yr
Review a set number of charts for each provider; this number will vary based on experience and credentials of the provider and will be determined by the Medical Director. * When certain forms or ...
Medical Biller
Ontario, CA · On-site
$22 - $23/hr
Review laboratory patient demographics, insurance, ordering provider, and facility information ... Coding, Medical Necessity & Compliance * Review claims for medical necessity in compliance ...
Quick apply
Medical Biller
Ontario, CA · On-site
$22 - $23/hr
Review laboratory patient demographics, insurance, ordering provider, and facility information ... Coding, Medical Necessity & Compliance * Review claims for medical necessity in compliance ...
Medical Biller
Ontario, CA · On-site
$22 - $23/hr
Review laboratory patient demographics, insurance, ordering provider, and facility information ... Coding, Medical Necessity & Compliance * Review claims for medical necessity in compliance ...
Quick apply
Medical Biller
Ontario, CA · On-site
$22 - $23/hr
Review laboratory patient demographics, insurance, ordering provider, and facility information ... Coding, Medical Necessity & Compliance * Review claims for medical necessity in compliance ...
Utilization Review Tech
Santa Ana, CA · On-site
Ability to interpret and understand various medical insurance plans and make accurate ... Answer and review pertinent insurance correspondence to ensure complete and accurate reimbursement ...
Utilization Review Tech
Santa Ana, CA · On-site
Ability to interpret and understand various medical insurance plans and make accurate ... Answer and review pertinent insurance correspondence to ensure complete and accurate reimbursement ...
Utilization Review Tech
Santa Ana, CA · On-site
Reviews treatment plans and status of approvals from insurers. Collects and compiles data as ... Ability to interpret and understand various medical insurance plans and make accurate ...
Utilization Review Tech
Santa Ana, CA · On-site
Reviews treatment plans and status of approvals from insurers. Collects and compiles data as ... Ability to interpret and understand various medical insurance plans and make accurate ...
Utilization Review Nurse
Orange, CA · On-site
$38 - $53/hr
Job Summary Our client is seeking a Utilization Review Nurse responsible for managing the complete ... Communicate confidently and effectively with Medical Directors, physicians, and hospital ...
Utilization Review Nurse
Orange, CA · On-site
$38 - $53/hr
Job Summary Our client is seeking a Utilization Review Nurse responsible for managing the complete ... Communicate confidently and effectively with Medical Directors, physicians, and hospital ...
Medical Director Physician
Pomona, CA · Remote
$250K - $350K/yr
Review prior authorization requests and determine medical necessity using evidence-based clinical guidelines. * Approve, deny, modify, or redirect services as appropriate. * Collaborate with nurses ...
Medical Director Physician
Pomona, CA · Remote
$250K - $350K/yr
Review prior authorization requests and determine medical necessity using evidence-based clinical guidelines. * Approve, deny, modify, or redirect services as appropriate. * Collaborate with nurses ...
Medical Director
Riverside, CA · On-site
Establishing and continually reviewing policies and procedures related to patient care, medical education, and emergency procedures. * Developing and reviewing, in cooperation with the Administrator ...
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Medical Director
Riverside, CA · On-site
Establishing and continually reviewing policies and procedures related to patient care, medical education, and emergency procedures. * Developing and reviewing, in cooperation with the Administrator ...
... review, patient education, and compassionate communication. Training is provided in preventive care ... Medical Assistant Certificate * Current BLS Certification * Excellent communication skills * Strong ...
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... review, patient education, and compassionate communication. Training is provided in preventive care ... Medical Assistant Certificate * Current BLS Certification * Excellent communication skills * Strong ...
The specialist reviews medical records to identify all appropriate coding, generates invoices for insurance and patient billing, and manages insurance claims and collections. Collaboration with ...
The specialist reviews medical records to identify all appropriate coding, generates invoices for insurance and patient billing, and manages insurance claims and collections. Collaboration with ...
Medical Assistant Specialist
$22 - $25/hr
Assure that physician has signed chart; review physician orders to verify that all orders have been carried out. Return patient charts to medical records. * Inventory and order medical supplies and ...
Quick apply
Medical Assistant Specialist
$22 - $25/hr
Assure that physician has signed chart; review physician orders to verify that all orders have been carried out. Return patient charts to medical records. * Inventory and order medical supplies and ...
Medical Director Dermatology Office
Ladera Ranch, CA · On-site
$2.0K/mo
Provide medical supervision and oversight of dermatology providers (MDs, PAs, NPs, MAs ... Establish, review, and update clinical protocols, treatment guidelines, and standard operating ...
Quick apply
Medical Director Dermatology Office
Ladera Ranch, CA · On-site
$2.0K/mo
Provide medical supervision and oversight of dermatology providers (MDs, PAs, NPs, MAs ... Establish, review, and update clinical protocols, treatment guidelines, and standard operating ...
Medical Reviewer information
See Riverside, CA salary details
$12.29 - $20.70
14% of jobs
$25.33 is the 25th percentile. Wages below this are outliers.
$20.70 - $29.11
21% of jobs
The median wage is $33.47 / hr.
$29.11 - $37.53
30% of jobs
$37.53 - $45.94
9% of jobs
$48.74 is the 75th percentile. Wages above this are outliers.
$45.94 - $54.35
3% of jobs
$54.35 - $62.76
13% of jobs
$62.76 - $71.18
1% of jobs
$71.18 - $79.59
4% of jobs
$79.59 - $88
0% of jobs
$88 - $96.42
0% of jobs
$96.42 - $104.83
5% of jobs
$12
$43
$104
How much do medical reviewer jobs pay per hour?
How does a medical reviewer typically collaborate with other departments during the drug 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 are the key skills and qualifications needed to thrive as a medical reviewer, and why are they important?
What is the difference between Medical Reviewer vs Medical Writer?
| Aspect | Medical Reviewer | Medical Writer |
|---|---|---|
| Required Credentials | Medical degree (MD, DO, PharmD), licensure often preferred | Background in life sciences, writing skills, often with a degree in related fields |
| Work Environment | Pharmaceutical companies, CROs, regulatory agencies, hospitals | Pharmaceutical companies, marketing agencies, publishing firms |
| Employer & Industry Usage | Review clinical data, regulatory documents, ensuring accuracy | Create 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.

Full-time
Posted 17 days ago
Edwards Lifesciences rating
8.3
Based on 30 frontline employees who took The Breakroom Quiz
67th of 536 rated manufacturers
Job description
Patients are at the heart of everything we do. As part of our Medical Affairs team, you'll foster internal and external collaboration to generate and disseminate evidence-based clinical practices to help impact patient lives and advance the quality of care. Your scientific curiosity and passion for patients will help us grow our reach and develop innovative solutions for people fighting cardiovascular disease.
Dedicated to innovation, our Surgical business unit is focused on identifying and solving critical, unmet needs in cardiac surgery. In understanding the challenges of open-heart surgery, we partner with surgical teams to deliver modern technologies intended to enhance patients' quality of life and expand their potential treatment opportunities. It's our driving force to help patients live longer and healthier lives. Join us and be part of our inspiring journey.
The Manager, Professional Education Programs- Surgical Medical Affairs will partner with all levels of Professional Education staff and other related functions across Edwards to develop and lead the execution of educational programs for health care providers and internal product trainings.
How you will make an impact:
Develop high quality educational slide decks for HCP-facing programs, internal trainings, symposia and speaker-led sessions. Transform rough content, scientific materials and field inputs into visually clear and professionally polished presentations. Ensure consistency in formatting, branding, structure and storytelling across all educational materials. Edit, refine and update existing slide libraries to maintain accuracy, alignment to product messaging and stylistic coherence.
Conduct Google image searches to identify appropriate, rights-appropriate visuals for program materials. Perform literature and publication searches to support content accuracy, incorporate current clinical data, and ensure evidence-based messaging. Track, archive and properly cite all images, publications, and reference materials used in educational content.
Ensure proper citation of scientific materials, figures and published data according to internal and regulatory standards. Prepare content for submission through legal, regulatory, and medical review processes in collaboration with cross-functional partners, utilizing the Vault PromoMats system. Maintain version control and documentation for all content updates.
Partner with field teams, marketing, scientific communications, internal professional Education teams, and program owners to gather content inputs and translate them into polished deliverables. Support speaker-led programs by preparing presentation materials, aligning formatting across faculty decks and ensuring scientific accuracy.
Assist in preparing collateral such as program agendas, social posts, email campaigns, training visuals, event-specific content pieces and re-cap materials. Contribute to metrics reporting by creating clear, well-designed visuals and summaries when needed. Help ensure all content assets are uploaded, organized and tagged appropriately in internal systems and SharePoint locations.
Subject Matter Expert for areas of responsibility in both product/program expertise and procedural knowledge.
Engage KOLs to develop strategically aligned messages on EW programs.
Create and manage all product and/or program related training documents and educational tools from program planning to execution.
Develop tactics (e.g., virtual symposiums, digital app) for local/region size and scope that support the strategy and access new training methodologies as incorporated into product launches as appropriate.
Develop the strategy for the effective launch, management and execution of existing programs, related trainings and projects intended to maximize product/procedural outcomes.
Manage relationships with multiple vendors.
Measure effectiveness of educational tools, resources and programs through post-meeting survey instruments, PSR, clinical field feedback and KOL review and develop plan to address concerns.
Drive process improvement for operational efficiency. Measure effectiveness of training efforts.
What you will need (Required):
Bachelor's Degree or Equivalent in relevant field, 8 years' experience of previously related work experience working in sales, marketing, or healthcare industry or equivalent work experience based on Edwards criteria
What else we look for (Preferred):
Education, sales or marketing work experience with HCPs
Prior experience in medical device/cardiac space
Legal, regulatory and medical review process and system experience
Proven expertise in MS Office Suite, Adobe Acrobat
Good organizational and project management skills
Good people skills, customer-oriented
Excellent written and verbal communication skills and interpersonal relationship skills
Clear, concise and professional in communication
Good problem-solving, critical thinking, and investigative skills
Solid knowledge and understanding of policies, procedures, and guidelines relevant to strategic event planning
Solid knowledge of regulatory and AdvaMed requirements
Strict attention to detail
Aligning our overall business objectives with performance, we offer competitive salaries, performance-based incentives, and a wide variety of benefits programs to address the diverse individual needs of our employees and their families.
For California (CA), the base pay range for this position is $121,000 to $171,000 (highly experienced).
The pay for the successful candidate will depend on various factors (e.g., qualifications, education, prior experience). Applications will be accepted while this position is posted on our Careers website.
Edwards is an Equal Opportunity/Affirmative Action employer including protected Veterans and individuals with disabilities.
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About Edwards Lifesciences
Sourced by ZipRecruiter
Edwards Lifesciences is the global leader in patient-focused medical innovations for structural heart disease, as well as critical care and surgical monitoring. Driven by a passion to help patients, the company collaborates with the world's leading clinicians and researchers to address unmet healthcare needs, working to improve patient outcomes and enhance lives. Headquartered in Irvine, California, Edwards Lifesciences has extensive operations in North America, Europe, Japan, Latin America and Asia and currently employs over 15,000 individuals worldwide. For us, helping patients is not a slogan - it's our life's work. From developing devices that replace or repair a diseased heart valve to creating new technologies that monitor vital signs in the critical care setting, we focus on helping patients regain and improve the quality of their life.
Industry
Medical equipment and supplies manufacturing
Company size
10,000+ Employees
Headquarters location
Irvine, CA, US
Year founded
1958