Clinical Care Reviewer UM Job Summary The primary purpose of the job is to: Under the direction of ... Ability to achieve required performance results on all audits and Inter Rater Reliability (Peer to ...
Clinical Care Reviewer UM Job Summary The primary purpose of the job is to: Under the direction of ... Ability to achieve required performance results on all audits and Inter Rater Reliability (Peer to ...
Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for ... Ability to achieve required performance results on all audits and Inter Rater Reliability (Peer to ...
Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for ... Ability to achieve required performance results on all audits and Inter Rater Reliability (Peer to ...
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Medical Report Reviewer
Saugerties, NY · Remote
$24 - $28/hr
From a team of 10 to over 150 employees, with a retention rate of 90%+. * Award-Winning Culture : A ... In addition to reviewing reports, this person may also be tasked with managing post-IME conference ...
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Be Seen First
Medical Report Reviewer
Saugerties, NY · Remote
$24 - $28/hr
From a team of 10 to over 150 employees, with a retention rate of 90%+. * Award-Winning Culture : A ... In addition to reviewing reports, this person may also be tasked with managing post-IME conference ...
Participates in Quality Reviews and Inter Rater Reliability processes and achieves performance results at or above thresholds established by management. Maintains awareness and complies with KFHP ...
Participates in Quality Reviews and Inter Rater Reliability processes and achieves performance results at or above thresholds established by management. Maintains awareness and complies with KFHP ...
Clinical Nurse Reviewer
New Brunswick, NJ · On-site
Clinical Nurse Reviewer Quality Management Saint Peter's is among the few hospitals in the world to ... Salary Range: 72,592.00 - 119,766.00 USD We offer competitive base rates that are determined by ...
Clinical Nurse Reviewer
New Brunswick, NJ · On-site
Clinical Nurse Reviewer Quality Management Saint Peter's is among the few hospitals in the world to ... Salary Range: 72,592.00 - 119,766.00 USD We offer competitive base rates that are determined by ...
Clinical Nurse Reviewer Quality Management Saint Peter's is among the few hospitals in the world to ... We offer competitive base rates that are determined by many factors, including job-related work ...
Clinical Nurse Reviewer Quality Management Saint Peter's is among the few hospitals in the world to ... We offer competitive base rates that are determined by many factors, including job-related work ...
E-Rate Coordinator II (226 Days) BOND FUNDED
$20.25 - $27.25/hr
Review, approve, sign or submit E-Rate forms related to the E-Rate Program. Provide guidance to the E-Rate inventory technician with maintaining accurate asset inventory records and maintain E-Rate ...
E-Rate Coordinator II (226 Days) BOND FUNDED
$20.25 - $27.25/hr
Review, approve, sign or submit E-Rate forms related to the E-Rate Program. Provide guidance to the E-Rate inventory technician with maintaining accurate asset inventory records and maintain E-Rate ...
Document Reviewer
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$25/hr
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Phoenix, AZ · On-site
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Boston, MA · On-site
$30/hr
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Boston, MA · On-site
$30/hr
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The Data Reviewer is responsible for ensuring the completion, quality, and compliance of laboratory ... Ability to perform complex math functions, compute ratios, rate, and percent. Ability to draw and ...
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Albany, NY · On-site
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Jericho or Albany, NY Employment Type: Full-time, Contract Hourly Rate: $50|hour About Greenlife ... Greenlife Healthcare Staffing is seeking an experienced Maternal Nurse Reviewer to conduct clinical ...
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Albany, NY · On-site
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Clinical Care Reviewer
Philadelphia, PA · On-site
Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for ... Ability to achieve required performance results on all audits and Inter Rater Reliability (Peer to ...
Clinical Care Reviewer
Philadelphia, PA · On-site
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Document Reviewer
$28/hr
Document Reviewers will review documents for complex litigation matters using an electronic review ... Pay Rate: $28/hour. Hours: Candidates must be available to work a minimum of 40 hours/week within ...
Document Reviewer
$28/hr
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Document Reviewer
Doral, FL · On-site
$28/hr
S. attorneys for ongoing remote Document Review projects. This role is ideal for attorneys who want ... Pay Rate: $28/hour * Hours: Candidates must be available to work a minimum of 40 hours/week within ...
Document Reviewer
Doral, FL · On-site
$28/hr
S. attorneys for ongoing remote Document Review projects. This role is ideal for attorneys who want ... Pay Rate: $28/hour * Hours: Candidates must be available to work a minimum of 40 hours/week within ...
E-Rate Coordinator II (226 Days) BOND FUNDED
$20.25 - $27.25/hr
Review, approve, sign or submit E-Rate forms related to the E-Rate Program. Provide guidance to the E-Rate inventory technician with maintaining accurate asset inventory records and maintain E-Rate ...
E-Rate Coordinator II (226 Days) BOND FUNDED
$20.25 - $27.25/hr
Review, approve, sign or submit E-Rate forms related to the E-Rate Program. Provide guidance to the E-Rate inventory technician with maintaining accurate asset inventory records and maintain E-Rate ...
Document Reviewer
Phoenix, AZ · On-site
$25/hr
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Phoenix, AZ · On-site
$25/hr
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Document Reviewer
$28/hr
Document Reviewers will review documents for complex litigation matters using an electronic review ... Pay Rate: $28/hour. Hours: Candidates must be available to work a minimum of 40 hours/week within ...
Document Reviewer
$28/hr
Document Reviewers will review documents for complex litigation matters using an electronic review ... Pay Rate: $28/hour. Hours: Candidates must be available to work a minimum of 40 hours/week within ...
Document Reviewer
$28/hr
Document Reviewers will review documents for complex litigation matters using an electronic review ... Pay Rate: $28/hour. Hours: Candidates must be available to work a minimum of 40 hours/week within ...
Document Reviewer
$28/hr
Document Reviewers will review documents for complex litigation matters using an electronic review ... Pay Rate: $28/hour. Hours: Candidates must be available to work a minimum of 40 hours/week within ...
Document Reviewer
$28/hr
Document Reviewers will review documents for complex litigation matters using an electronic review ... Pay Rate: $28/hour. Hours: Candidates must be available to work a minimum of 40 hours/week within ...
Document Reviewer
$28/hr
Document Reviewers will review documents for complex litigation matters using an electronic review ... Pay Rate: $28/hour. Hours: Candidates must be available to work a minimum of 40 hours/week within ...
Document Reviewer
$28/hr
Document Reviewers will review documents for complex litigation matters using an electronic review ... Pay Rate: $28/hour. Hours: Candidates must be available to work a minimum of 40 hours/week within ...
Document Reviewer
$28/hr
Document Reviewers will review documents for complex litigation matters using an electronic review ... Pay Rate: $28/hour. Hours: Candidates must be available to work a minimum of 40 hours/week within ...
Rate Reviewer information
See salary details
$10.58 - $14.03
1% of jobs
$14.03 - $17.48
13% of jobs
$17.48 - $20.94
4% of jobs
$22.31 is the 25th percentile. Wages below this are outliers.
$20.94 - $24.39
18% of jobs
$24.39 - $27.84
14% of jobs
The median wage is $27.95 / hr.
$27.84 - $31.29
17% of jobs
$31.29 - $34.75
7% of jobs
$35.14 is the 75th percentile. Wages above this are outliers.
$34.75 - $38.20
12% of jobs
$38.20 - $41.65
8% of jobs
$41.65 - $45.10
5% of jobs
$45.10 - $48.56
1% of jobs
$10
$29
$48
How much do rate reviewer jobs pay per hour?
As of Jul 21, 2026, the average hourly pay for rate reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.
What is the difference between Rate Reviewer vs Claims Adjuster?
| Aspect | Rate Reviewer | Claims Adjuster |
|---|---|---|
| Required Credentials | Typically a high school diploma or equivalent; some roles prefer insurance or finance certifications | High school diploma or equivalent; often requires state licensing or certification |
| Work Environment | Office-based, reviewing insurance rates and policies | Field and office-based, investigating and settling insurance claims |
| Employer & Industry Usage | Insurance companies, financial institutions | Insurance companies, public agencies |
| Comparison Search Intent | Understanding role differences, job requirements, or career paths | Comparing job responsibilities, qualifications, or career options |
Both roles are integral to the insurance industry, but a Rate Reviewer primarily evaluates and approves insurance rates, while a Claims Adjuster investigates and settles claims. Understanding these differences helps job seekers identify the right career path based on their skills and interests.
What are the key skills and qualifications needed to thrive as a Rate Reviewer, and why are they important?
To thrive as a Rate Reviewer, you need strong analytical abilities, attention to detail, and a background in finance, insurance, or a related field—often supported by a bachelor's degree. Familiarity with regulatory compliance tools, actuarial software, and data management systems is typically required. Excellent written communication, objectivity, and organizational skills help you navigate complex regulations and present findings clearly. These competencies ensure accurate rate assessments, regulatory compliance, and effective collaboration with stakeholders.
What are Rate Reviewers?
Rate Reviewers are professionals who evaluate and analyze proposed rates, often within industries like insurance, utilities, or healthcare. Their primary responsibility is to ensure that rates set by companies are fair, reasonable, and comply with regulatory standards. They review detailed documentation, financial data, and justifications for rate changes to protect consumer interests and maintain industry transparency. Rate Reviewers often work for government agencies, regulatory bodies, or large organizations.
What are some common challenges faced by Rate Reviewers and how can they be managed effectively?
Rate Reviewers frequently encounter the challenge of analyzing complex data sets and ensuring compliance with evolving regulatory standards. Staying current with industry regulations and maintaining strong attention to detail are essential for success. Effective collaboration with actuaries, underwriters, and regulatory agencies also helps to resolve discrepancies and ensure accurate rate filings. Developing strong analytical and communication skills can help Rate Reviewers address these challenges and contribute to the organization's compliance and profitability.
More about Rate Reviewer jobs
What cities are hiring for Rate Reviewer jobs? Cities with the most Rate Reviewer job openings:
What states have the most Rate Reviewer jobs? States with the most job openings for Rate Reviewer jobs include:
What job categories do people searching Rate Reviewer jobs look for? The top searched job categories for Rate Reviewer jobs are:
Job description
Company Description
Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.
Job Description
Clinical Care Reviewer UM
Job Summary
The primary purpose of the job is to:
Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. It is within the nurse's discretion to pend requests for additional information and/or request clarification. The nurse will use his/her professional judgment to evaluate the request to ensure that appropriate services are approved and recognize care coordination opportunities and refer those cases as needed. The nurse will apply medical health benefit policy and medical management guidelines to authorize services and appropriately identify and refer requests to the Medical Director when guidelines are not met. The nurse will maintain current knowledge and understanding of the laws, regulations, and policies that pertain to the organizational unit's business and uses clinical judgment in their application.
Qualifications
Complete Description: 3 or more years experience in a related clinical setting.
Case management and utilization review experience preferredÂ
Registered Nurse
Excellent oral and written communication skills.
Ability to identify problems and recommend solutions.
Self-directed/Ability to work independently.
Excellent decision making skills.
Excellent time management skills, prioritizing work and meeting timelines.
Ability to advocate for member/member family needs.
Dedicated to meeting the expectations and requirements of internal and external customers.
Obtains continuing education required to maintain professional licensure.
Ability to achieve required performance results on all audits and Inter Rater Reliability (Peer to Peer).
Additional Information
Riya Khem
Life Science RecruiterÂ
Integrated Resources, Inc.
IT Life Sciences Allied Healthcare CRO
Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I
DIRECT # - 732 -844-8721 | (W) # 732-549-2030 - Ext - 311 |(F) 732-549-5549
About Integrated Resources
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996