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Remote Medical Reviewer Jobs in Riverside, CA (NOW HIRING)

Inspire Healthcare

Medical Director Physician

Pomona, CA · Remote

$250K - $350K/yr

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea ...

NV5

Assessment Property Condition Reviewer

Irvine, CA · Remote

$85K - $110K/yr

This role is typically fulfilled as a remote employee. If a proximate NV5 office and space are ... NV5 offers a competitive compensation and benefits package that includes medical, dental, and life ...

NV5

Assessment Property Condition Reviewer

Irvine, CA · On-site +1

$85K - $110K/yr

This role is typically fulfilled as a remote employee. If a proximate NV5 office and space are ... NV5 offers a competitive compensation and benefits package that includes medical, dental, and life ...

Veristat

Principal Medical Writer

Ontario, CA · On-site +1

Benefits vary by location and may include: o Remote working o Flexible time off o Paid holidays o ... Automated Decision Making: All applicants are reviewed by a member of the Veristat Talent ...

Ethos Risk Services

Bill Review Specialist

Lake Forest, CA · On-site +1

$20.25 - $28/hr

Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review, audit, and process workers' compensation medical bills while ensuring compliance with state fee ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

... treatment, certifies the medical necessity and assigns an appropriate length of stay while ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

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Remote Medical Reviewer information

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$12

$43

$104

How much do remote medical reviewer jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for remote medical reviewer in Riverside, CA is $43.88, according to ZipRecruiter salary data. Most workers in this role earn between $23.85 and $56.44 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.

What are popular job titles related to Remote Medical Reviewer jobs in Riverside, CA? For Remote Medical Reviewer jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Medical Reviewer jobs in Riverside, CA look for? The top searched job categories for Remote Medical Reviewer jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Medical Reviewer jobs? Cities near Riverside, CA with the most Remote Medical Reviewer job openings:
Remote Medical Reviewer jobs near you
Infographic showing various Remote Medical Reviewer job openings in Riverside, CA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $91,261 per year, or $43.9 per hour.

Medical Director Physician

Inspire Healthcare

Pomona, CA • Remote

$250K - $350K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea and be available for occasional on-site meetings and trainings.

Responsibilities
  • Review prior authorization requests and determine medical necessity using evidence-based clinical guidelines.
  • Approve, deny, modify, or redirect services as appropriate.
  • Collaborate with nurses, physicians, and care management teams to support high-quality, cost-effective care.
  • Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement initiatives.
  • Serve as a clinical resource to providers on utilization management and patient care issues.
Qualifications
  • MD or DO degree required.
  • Board Certification in Internal Medicine strongly preferred.
  • Minimum 5 years of clinical experience required.
  • 2+ years of managed care, health plan, or utilization management experience preferred.
  • Strong knowledge of prior authorization processes and medical necessity criteria.
  • Excellent communication, organizational, and decision-making skills.
  • Proficiency with Microsoft Office and remote work technology.
Compensation & Benefits
  • Salary: $250,000"$350,000 annually DOE.
  • Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, life insurance, FSA, tuition reimbursement, CME/license reimbursement, and employee assistance programs.

This is an excellent opportunity to join one of Southern California's fastest-growing physician organizations in a leadership role that supports quality patient care while maintaining work-life balance.

Apply