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Remote Medical Reviewer Jobs in Puerto Rico (NOW HIRING)

Remote/hybrid experience preferred * A minimum of 2-4 years' administrative experience and/or ... The Opportunity The cost of cancer related medical services and prescription drugs in the United ...

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

Regional Sales Manager

Aguadilla, PR ยท Remote

$98K - $157K/yr

The work model for the role is : #LI-Remote in the US with 60% travel required. This role is ... Choice between two medical plan options: A PPO plan called the Copay Plan OR a High-Deductible ...

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

Remote Medical Reviewer information

What is a Remote Medical Reviewer job?

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 in the Remote Medical Reviewer position, and why are they important?

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.

What cities in Puerto Rico are hiring for Remote Medical Reviewer jobs? Cities in Puerto Rico with the most Remote Medical Reviewer job openings:
Infographic showing various Remote Medical Reviewer job openings in Puerto Rico as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Pre-Litigation Associate - Of Counsel (Remote)

Jackson Lewis

San Juan, PR โ€ข Remote

$120K - $216K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


Job description

Focused on employment and labor law since 1958, Jackson Lewis P.C.'s 1,000+ attorneys located in major cities nationwide consistently identify and respond to new ways workplace law intersects business. We help employers develop proactive strategies, strong policies and business-oriented solutions to cultivate high-functioning workforces that are engaged and stable, and share our clients' goals to emphasize belonging and respect for the contributions of every employee.

The Firm is ranked in the First Tier nationally in the category of Labor and Employment Litigation, as well as in both Employment Law and Labor Law on behalf of Management, in the U.S. News - Best Lawyers "Best Law Firms".

This fully remote position is for an Associate - Of Counsel (Remote) is available nationwide in any state in which Jackson Lewis maintains an office. Applicants must be licensed to practice in California.

Summary of Position:


Pre-Litigation Associate - Of Counsel (Remote) at Jackson Lewis, P.C. are exempt attorneys employed to exercise their legal judgment to handle various duties in connection with the pre- litigation matters including demand letters, requests for records, and agency/administrative charges. Pre-Litigation Associate - Of Counsel (Remote) are a non-Principal track position. This role is available nationwide in any state in which Jackson Lewis maintains an office. The hours requirement for this role will be 1850.

Primary Duties consist of, but are not limited to:

  • Independently handling responding to demand letters, requests for records and agency/administrative charges without the need for more senior attorney level review.

  • Assessment of the claims and providing an analysis to the client and carrier.

  • Direct client and carrier contact in handling those responses.

  • Settlement related activity including attending mediations.

  • Work with the firm's Professional Development team in the delivery of work product to clients.

  • Comply with all client and firm related administrative tasks.

  • Other tasks as assigned by the firm including by a client relationship manager, an Office Managing Partner, Office Litigation Manager and/or Case Staffer.

Qualifications:

  • Must be admitted to the CA state bar and comply with all ethical requirements in the resident state, including being barred if required.

  • Must be in good standing.

  • Must have at least 4 years of experience (to be considered for an Associate role) handling California employment litigation matters including demand letters, requests for records and agency/administrative charges.

  • To be eligible for consideration for an Of Counsel level Remote role, you must generally have at least 9+ of relevant California experience and a demonstrated ability to operate in a first chair capacity

  • Strong organizational skills and attention to detail required to handle large volumes of documents and work associated with each matter.

  • Demonstrated ability to prioritize and balance competing demands and meet deadlines in a fast-paced professional environment.

  • Exceptional communication skills and strong legal research and drafting skills

  • Ability to foster strong collaboration across Legal Support, Operations and Attorney teams.

  • Proficient with Microsoft Office programs (Word, Excel, PowerPoint)

For California, the expected salary range for this position is between $120K and $216K. The actualcompensation will be determined based on experience and other factors permitted by law.

This position is also eligible for annual bonuses.


Jackson Lewis offers a competitive benefits package that includes:

  • Medical, dental, vision, life and disability insurance

  • 401(k) Retirement Plan

  • Flexible Spending and Health Savings Account

  • Firm-paid holidays, vacation and sick time

  • Employee assistance program and other firm benefits

#LI-Remote

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status or any other characteristics protected by law. For those applying for a position in the city of Los Angeles, the firm will consider for employment qualified applicants with a criminal history in a manner consistent with applicable federal, state and local law.