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Remote Case Reviewer Jobs in Raleigh, NC (NOW HIRING)

Most roles are fully remote, so you need to be comfortable using technology, be productive in a ... PRIMARY DUTIES AND RESPONSIBILITIES • Request, organize, and review Plan & Participant data • ...

This is a hybrid remote position working between 1-4 days a week remotely depending on the needs of ... Evaluate case files to determine issues and sufficiency of evidence or documentation, analyzing ...

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Remote Case Reviewer information

See Raleigh, NC salary details

$18

$46

$77

How much do remote case reviewer jobs pay per hour?

As of May 29, 2026, the average hourly pay for remote case reviewer in Raleigh, NC is $46.21, according to ZipRecruiter salary data. Most workers in this role earn between $34.33 and $55.87 per hour, depending on experience, location, and employer.

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

To thrive as a Remote Case Reviewer, you need strong analytical skills, attention to detail, and relevant professional credentials, often in fields like healthcare, insurance, or law. Familiarity with case management software, electronic documentation systems, and industry regulations (such as HIPAA for healthcare) is typically required. Excellent written communication, time management, and independent decision-making are standout soft skills for this role. These abilities ensure accurate, compliant, and efficient case evaluations while maintaining high-quality standards in a remote work environment.

What are some common challenges Remote Case Reviewers face, and how can they effectively manage them?

Remote Case Reviewers often encounter challenges such as managing a high volume of cases, staying organized with digital documentation, and maintaining clear communication with team members across different locations. To address these, it's important to develop strong time management skills, utilize standardized review checklists, and take advantage of collaboration tools like secure messaging platforms. Regular virtual meetings and clear protocols help ensure consistency and quality, while ongoing training can keep reviewers up to date on best practices.

What are remote case reviewers?

Remote case reviewers are professionals who assess and evaluate cases, such as medical, legal, or insurance files, from a remote location rather than working on-site. Their responsibilities typically include reviewing documentation, ensuring compliance with policies and regulations, and providing recommendations or decisions based on their findings. Remote case reviewers use secure digital platforms to access and analyze case materials, enabling flexibility and efficiency in their work. This role can be found in industries like healthcare, law, insurance, and finance. Strong attention to detail and analytical skills are essential for success in this position.

What is the difference between Remote Case Reviewer vs Remote Claims Processor?

AspectRemote Case ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; healthcare or legal background often preferredHigh school diploma or equivalent; experience in insurance or claims processing beneficial
Work EnvironmentHome-based, independent review settingHome-based, processing insurance claims
Industry UsageHealthcare, legal, insurance sectorsInsurance companies, third-party administrators
Common Search/ComparisonRemote Case Reviewer vs Remote Claims Processor

While both roles are remote and involve handling cases or claims, Remote Case Reviewers primarily evaluate and assess cases, often requiring specialized knowledge in healthcare or legal fields. Remote Claims Processors focus on processing insurance claims, verifying information, and ensuring accurate payment. Understanding these differences helps job seekers identify the role that best matches their skills and career goals.

What are the most commonly searched types of Case Reviewer jobs in Raleigh, NC? The most popular types of Case Reviewer jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Case Reviewer jobs? Cities near Raleigh, NC with the most Remote Case Reviewer job openings:
Infographic showing various Remote Case Reviewer job openings in Raleigh, NC as of May 2026, with employment types broken down into 88% Full Time, 6% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $96,108 per year, or $46.2 per hour.

Sr. Medical Director, Rheumatology - US Remote

Fortrea

Durham, NC • Remote

$240K - $340K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago


Fortrea rating

7.2

Company rating: 7.2 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

43rd of 56 rated research


Job description

Senior Medical Director, Rheumatology - US Remote Based

Raising CRO standards for innovation and delivery to help bring life-changing treatments to patients faster. Fortrea is seeking a dedicatedUS remotebasedMedical Directoror Senior Medical Directorwith deep expertise inRheumatologyalongwith background in innovative therapies,includingcelland gene therapy.The incumbent will provide medical leadership and oversight across all phases of development, including early-phase innovation and late-phase global programs. Responsible for supporting the development activities of proposed and ongoing projects in their area of expertise, as well as medical monitoring to assigned clinical studies.

The (Senior) Medical Director will serve as a key medical representative in client interactions, businessdevelopment discussions, and proposal presentations. The role will further foster and enhance relationships with global clinical operations teams and provide leadership as the Leading Physician for Phase I-IV clinical trials).

We are particularly interested in candidates who have led or supportedrheumatologyclinical programs and who are comfortable serving as the study physician, providing medical monitoring oversight (e.g., safety review, contribution to protocol development, including study design, endpoints and eligibility criteria) and working collaboratively with other project team members. In addition to strong scientific leadership, the role is expected to be highly client-facing with an increased business development component - requiring regular engagement at executive level, and the confidence and polish to represent Fortrea with senior client leaders, external partners, and other key stakeholders.

WHAT YOU WILL DO

  • High level Medical TA and Clinical Trial Subject Matter Expertise (SME) contributions(maybeRegionalor Global).
  • SME Cross-functional, scientific & technical contributions and interactions with Clients Medical teams, Project teams, Key Opinion Leadersand at Principal Investigator/Site levels.
  • Partner with clients and internal teams to support business development - shaping clinical/medical strategy for proposals, biddefences, and client discussions.
  • Provide oversight of medical monitoring activities to ensure timelines and quality of medical deliverables and assigns physician resources as required.
  • According to the scope of work, may serve as Global Lead, Regional or Program Project Physician across multiple indications.
  • Provide subject matter and drug development expertise and is a key contributor to the medical strategy and execution of the study/program for the client.
  • Provides input, review and revision of protocols, case report forms, training materials, project specific tools, analysis plans design, clinical trial reports and new drug applications.
  • Prepares materials for and actively participates in investigator meetings and assists at site initiation visits.
  • Provides medical/scientific expertise to project team.
  • And any other duties as required or assigned.

YOU NEED TO BRING...

Qualifications (Minimum Requiredand preferred):

  • MD Degree
  • Board Certification in Internal Medicine
  • Specialization in Rheumatologyandbroadertherapeutic experience in autoimmune diseases (AID)
  • Preferred:Specific expertise in cell and gene therapy in autoimmune diseases (AID)
  • 3+ years of substantial knowledge of drug development and extensive clinical research experience within the pharmaceutical/CRO industry (or as a clinical trial investigator)
  • Preferred:Industry experience inclusive of clinical trials medical monitoring experience or other relevant clinical development/trial experience at a CRO, pharmaceutical company, regulatory agency
  • Strong scientific communication and clientfacing capabilities, including presenting scientific expertise, supporting proposals, and strengthening externalpartnerships
  • English language skills: Full professional proficiency

Work Environment

  • Remote position based in USA
  • Occasional national and international travel required, including attendance at sponsor meetings, investigator meetings, and relevant scientific or industry conferences.

Physical Requirements

  • Frequently stationary for 6-8 hours per day.
  • Repetitive hand movement of both hands with the ability to make fast, simple, repeated movements of the fingers, hands, and wrists.
  • Occasional crouching, stooping, with frequent bending and twisting of upper body and neck.
  • Ability to access and use a variety of computer software developed both in-house and off-the-shelf.
  • Light to moderate lifting and carrying (or otherwise moves) objects including luggage and laptop computer with a maximum lift of 15-20 lbs.
  • Regular and consistent attendance.
  • Varied hours may be required.

Pay Range:USD $240,000-$340,000

Benefits:All job offers will bebased on a candidate's skills and prior relevant experience, applicabledegrees/certifications,as well as internal equity and market data.Regular,full-timeor part-time employees working 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(K), Paid time off (PTO) or Flexible time off (FTO), Company bonus where applicable.

Application Deadline: June 12, 2026

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