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Reviewer Jobs in California (NOW HIRING)

Astiva Health, Inc

UM Nurse Reviewer

Orange, CA · On-site

Utilization Management Authorization Review Nurse Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering ...

Astiva Health

UM Nurse Reviewer

Orange, CA · On-site

Review authorization requests for medical necessity, ensuring adherence to regulatory and health plan criteria, policies, and Evidence of Coverage (EOC). * Apply clinical knowledge when processing ...

Regal Executive Search

Tax Senior Reviewer

Irvine, CA · On-site

$87K - $108K/yr

Tax Senior Reviewer Overview With a rich 40-year history in the areas of financial planning, education and investment services, we develop and assist in implementing holistic financial solutions to ...

Astiva Health

UM Nurse Reviewer

Orange, CA · On-site

$75K - $95K/yr

Review authorization requests for medical necessity, ensuring adherence to regulatory and health plan criteria, policies, and Evidence of Coverage (EOC). * Apply clinical knowledge when processing ...

Integrated Resources INC

QC Reviewer

San Diego, CA · On-site

The candidate would review and modify submission-ready clinical documents by demonstrating high attention to detail, in order to guarantee quality of the final document. The ability to work ...

Astiva Health

UM Nurse Reviewer

Orange, CA · On-site

$75K - $95K/yr

Review authorization requests for medical necessity, ensuring adherence to regulatory and health plan criteria, policies, and Evidence of Coverage (EOC). * Apply clinical knowledge when processing ...

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Reviewer information

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$10

$29

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How much do reviewer jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for reviewer in California is $29.49, according to ZipRecruiter salary data. Most workers in this role earn between $22.31 and $36.06 per hour, depending on experience, location, and employer.

What is a reviewer?

Reviewers are individuals who evaluate and provide feedback on various works, such as academic papers, products, services, or creative projects. Their main role is to assess the quality, accuracy, and relevance of the material, offering constructive criticism and recommendations for improvement. Reviewers are essential in maintaining standards and ensuring that only high-quality works are published or made available to the public. The specific responsibilities of a reviewer can vary depending on the industry or context in which they work.

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

A successful Reviewer needs strong analytical thinking, attention to detail, and expertise in the relevant subject area, often supported by a degree or professional background. Familiarity with review management software, submission tracking systems, and industry-specific guidelines is commonly required. Excellent written communication, objectivity, and time management set outstanding reviewers apart. These skills ensure thorough, fair, and timely evaluations, which uphold the quality and credibility of published work or products.

How do reviewers typically collaborate with other team members during the evaluation process?

Reviewers often work closely with subject matter experts, editors, or project managers to ensure that evaluations are thorough and consistent. Collaboration usually involves regular meetings to discuss criteria, clarify expectations, and address any ambiguities in the material under review. Additionally, Reviewers may provide feedback or suggestions for improvement and participate in group discussions to achieve consensus on final recommendations. This teamwork helps maintain high standards and ensures the integrity of the review process.

What is the difference between Reviewer vs Quality Control Inspector?

AspectReviewerQuality Control Inspector
CredentialsTypically requires a degree or certification in the relevant fieldOften requires technical training or certification in inspection methods
Work EnvironmentOffice or remote review settings, analyzing documents or dataManufacturing, construction, or production sites inspecting products
Employer & IndustryPublishing, media, manufacturing, or software companiesManufacturing, construction, aerospace, or automotive industries
Search & Comparison IntentUnderstanding review roles, responsibilities, and qualificationsComparing inspection and quality assurance roles in industry

While both reviewers and quality control inspectors ensure standards are met, reviewers primarily evaluate documents, data, or content in office settings, focusing on accuracy and compliance. Quality control inspectors physically examine products or processes on-site to identify defects or issues. Their roles overlap in quality assurance but differ in work environment and specific tasks.

How to get a job as a reviewer?

To become a reviewer, gain relevant knowledge in the field you want to review, develop strong communication and critical thinking skills, and build a portfolio or sample reviews. Many reviewer roles require attention to detail, familiarity with review platforms or tools, and sometimes specific certifications or experience in the industry. Applying through company websites, freelance platforms, or industry networks can help you find opportunities.

What are the most commonly searched types of Reviewer jobs in California?

The most popular types of Reviewer jobs in California are:

What are popular job titles related to Reviewer jobs in California?

For Reviewer jobs in California, the most frequently searched job titles are:

What job categories do people searching Reviewer jobs in California look for?

The top searched job categories for Reviewer jobs in California are:

What cities in California are hiring for Reviewer jobs?

Cities in California with the most Reviewer job openings:

What are popular job titles related to Reviewer jobs in CA?

For Reviewer jobs in CA, the most frequently searched job titles are:

Reviewer jobs near you
Infographic showing various Reviewer job openings in California as of August 2026, with employment types broken down into 60% Full Time, 35% Part Time, and 5% Contract. Highlights an 48% Physical, 3% Hybrid, and 49% Remote job distribution, with an average salary of $61,345 per year, or $29.5 per hour.

Medical Reviewer (Prosthetic and Orthotic Devices Specialist) - Remote CA

West Sacramento, CA • Remote

Gainwell Technologies LLC
Health Care and Social Assistance • 10K+ employees

7.8

Company rating: 7.8 out of 10

Based on 82 frontline employees who took The Breakroom Quiz

139th of 246 rated software companies

People enjoy working here

Good employer

Recommended by parents

Learn more about Gainwell Technologies LLCexternal

$70K - $90K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 3 days ago

New

Job description

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

Gainwell Technologies is seeking a Medical Reviewer (Prosthetic and Orthotic Devices Specialist) to provide subject-matter expertise supporting Medical Review Services for California healthcare programs. In this role, you will review prosthetic and orthotic device requests, claims, Treatment Authorization Requests (TARs), prescriptions, and supporting documentation to help ensure services and devices meet applicable coverage, medical necessity, and program requirements.

Your role in our mission
  • Review claims, Treatment Authorization Requests (TARs), prescriptions, and supporting documentation involving prosthetic and orthotic devices.
  • Evaluate prosthetic and orthotic requests based on applicable coverage requirements, medical policies, and professional standards.
  • Assess documentation supporting the medical need and appropriate use of prosthetic and orthotic devices.
  • Provide subject-matter expertise related to prosthetic and orthotic equipment, services, and practices.
  • Support claim adjudication and authorization activities involving prosthetic and orthotic services.
  • Document review findings, decisions, and supporting rationale accurately and timely.
  • Identify documentation or coverage issues requiring additional review or clarification.
  • Collaborate with clinicians, providers, operations teams, and other Medical Review Services specialists.
  • Maintain knowledge of applicable prosthetic and orthotic standards, coverage requirements, policies, and regulatory guidelines.
  • Meet established quality, accuracy, productivity, and turnaround-time expectations.
What we're looking for
  • Professional experience as a Prosthetic and Orthotic (P&O) practitioner consistent with program requirements.
  • Certification in Prosthetics and Orthotics.
  • Ownership or management of a Prosthetic and Orthotic business within the past five (5) years preferred.
  • Strong knowledge of prosthetic and orthotic devices, services, and clinical applications.
  • Ability to interpret medical documentation, prescriptions, and supporting device information.
  • Strong analytical, written, and verbal communication skills.
  • Ability to work independently while collaborating effectively with clinical, operational, and cross-functional teams.
What you should expect in this role
  • Full-time position.
  • Remote work environment.
  • Monday through Friday work schedule.
  • Work primarily from your home office while supporting Medical Review Services for California healthcare programs.
  • Spend the majority of your day reviewing prosthetic and orthotic claims, authorization requests, prescriptions, medical documentation, and supporting information.
  • Work independently while collaborating with physicians, nurses, other clinical specialists, operations teams, providers, and business partners.
  • Navigate multiple computer systems and applications to complete reviews, document findings, and support timely determinations.
  • Maintain all professional certifications and credentials required for the position in active and good-standing status, as applicable.
  • Maintain knowledge of applicable medical policies, coverage requirements, professional standards, and regulatory guidelines.
  • Meet established quality, accuracy, productivity, and turnaround-time expectations.
  • Receive ongoing training and support related to program requirements, systems, policies, and medical review processes.
  • Travel requirement: 0-10%.

This position is being posted for pipeline purposes, and we welcome applications on an ongoing basis.

#LI-REMOTE

#LI-MA1

The pay range for this position is $70,000 - $90,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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