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Remote Medical Reviewer Jobs in Alaska (NOW HIRING)

CVS Health

Case Manager, Registered Nurse

Homer, AK · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Perform medical necessity reviews. Required Qualifications * 5+ years' experience as a Registered ...

ASRC

Civil Engineer - ACES

Anchorage, AK · On-site +1

... in remote and often challenging environments. The Senior Civil Engineer serves as a technical ... Review and approve engineering scopes of work, schedules, cost estimates, and design criteria ...

Pacs

Execute senior-level preparation, review, and final submission of annual Medicare and Medicaid cost ... In-Office (SLC) preferred, or fully remote for candidate outside of the UT Market Join PACS:

Pacs

$130K - $150K/yr

Extensive experience conducting clinical record reviews and regulatory investigations. * Deep ... This role is remote, requiring less than 25% travel. Salary Range: $130,000-150,000 Join PACS:

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Remote Medical Reviewer information

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$12

$45

$108

How much do remote medical reviewer jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for remote medical reviewer in Alaska is $45.29, according to ZipRecruiter salary data. Most workers in this role earn between $24.62 and $58.27 per hour, depending on experience, location, and employer.

What is a remote medical reviewer?

A Remote Medical Reviewer evaluates medical records, claims, or cases to ensure accuracy, compliance, and appropriate medical decision-making. They typically work for insurance companies, healthcare organizations, or third-party review agencies. This role involves analyzing documentation, applying clinical guidelines, and providing recommendations based on medical expertise. It requires a background in healthcare, such as nursing or medicine, along with strong analytical and communication skills. The job is performed remotely, allowing flexibility while maintaining high standards of medical review.

What are the key skills and qualifications needed to thrive as a remote medical reviewer?

A Remote Medical Reviewer requires a strong background in healthcare, such as a nursing or pharmaceutical degree, along with in-depth knowledge of clinical guidelines and regulatory standards. Familiarity with electronic medical record (EMR) systems, coding software, and industry certifications like RHIA or CCS is often necessary. Exceptional attention to detail, analytical thinking, and clear written communication are vital soft skills for this role. These competencies ensure accurate and timely medical review decisions that impact patient care and regulatory compliance.

What are some common challenges faced by remote medical reviewers and how can they be addressed?

Remote Medical Reviewers often encounter challenges such as reviewing complex cases with limited background information and keeping up with frequent updates to medical regulations and insurance policies. Staying organized, participating in continuing education, and leveraging robust digital communication tools can help you overcome these obstacles. You'll also need to be self-motivated and comfortable working independently, as remote teams often collaborate primarily through virtual meetings and secure documentation platforms. Embracing strong time management practices and regularly connecting with colleagues for case discussions can greatly enhance your job performance and satisfaction.

How to become a remote medical reviewer?

To become a remote medical reviewer, candidates typically need a medical degree such as MD or DO, along with clinical experience in a relevant specialty. Strong analytical skills, attention to detail, and familiarity with medical records and documentation are essential, and some positions may require certification or licensure in the relevant state or country. Proficiency with electronic health records (EHR) systems and the ability to work independently are also important for remote roles.

What are popular job titles related to Remote Medical Reviewer jobs in Alaska?

For Remote Medical Reviewer jobs in Alaska, the most frequently searched job titles are:

What job categories do people searching Remote Medical Reviewer jobs in Alaska look for?

The top searched job categories for Remote Medical Reviewer jobs in Alaska are:

Remote Medical Reviewer jobs near you
Infographic showing various Remote Medical Reviewer job openings in Alaska as of August 2026, with employment types broken down into 79% Full Time, and 21% Contract. Highlights an 100% Remote job distribution, with an average salary of $94,207 per year, or $45.3 per hour.

Senior Claim Benefit Specialist - Remote

CVS Health

Homer, AK • Remote

$18.50 - $42.35/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,359 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.
Additional Responsibilities

- Reviews prespecified claims and those that exceed specialist adjudication authority or processing expertise.

- Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements costcontainment measures to support accurate claim adjudication.

- Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.

- Identifies and reports potential overpayments, underpayments, and other claim irregularities.

- Performs claim rework calculations as needed.

- Trains and mentors as needed to enhance team performance and technical proficiency.

- Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

- Minimum of 18 months of medical claim processing experience with a health insurance payor or thirdparty administrator.

- Proven success working in a highvolume, productiondriven environment.

- Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.


Preferred Qualifications

- Self-Funding experience

- DG system knowledge


Education

- High School Diploma required

- Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

What CVS Health employees say

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