Description Flexible Independent Contractor (1099) Remote Opportunity Required State Medical ... We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
Description Flexible Independent Contractor (1099) Remote Opportunity Required State Medical ... We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
... with federal, state, and client-specific requirements. In addition to medical review ... Provides leadership to team leaders or supervisors. * Establishes criteria, formulates projects ...
... with federal, state, and client-specific requirements. In addition to medical review ... Provides leadership to team leaders or supervisors. * Establishes criteria, formulates projects ...
... with federal, state, and client-specific requirements. In addition to medical review ... Provides leadership to team leaders or supervisors. * Establishes criteria, formulates projects ...
... with federal, state, and client-specific requirements. In addition to medical review ... Provides leadership to team leaders or supervisors. * Establishes criteria, formulates projects ...
About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team ... S. and in the state of hire OR * Active compact multistate RN license (as defined by the Nurse ...
About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team ... S. and in the state of hire OR * Active compact multistate RN license (as defined by the Nurse ...
Medical Review Coordinator I
Elgin, IL · On-site
$32 - $46.35/hr
Actively participates in Case Management and Treatment Team meetings. Serves as on-going educator ... Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care ...
Medical Review Coordinator I
Elgin, IL · On-site
$32 - $46.35/hr
Actively participates in Case Management and Treatment Team meetings. Serves as on-going educator ... Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care ...
Review medical documentation for medical necessity utilizing clinical knowledge and Center for Medicare Services (CMS) policies and guidelines, as well as other state and board regulations.
Review medical documentation for medical necessity utilizing clinical knowledge and Center for Medicare Services (CMS) policies and guidelines, as well as other state and board regulations.
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... S. state or territory, specifically KENTUCKY medical state license . * Board Certification:
Quick apply
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... S. state or territory, specifically KENTUCKY medical state license . * Board Certification:
Medical Review Nurse
Conshohocken, PA · Remote
We're a team of driven professionals passionate about redefining the specialty insurance experience ... Medical Review Nurse Carbon Stop Loss Solutions is a leading managing general underwriter (MGU) in ...
Medical Review Nurse
Conshohocken, PA · Remote
We're a team of driven professionals passionate about redefining the specialty insurance experience ... Medical Review Nurse Carbon Stop Loss Solutions is a leading managing general underwriter (MGU) in ...
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... S. state or territory, specifically KENTUCKY medical state license . * Board Certification:
Quick apply
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... S. state or territory, specifically KENTUCKY medical state license . * Board Certification:
Manages a team of medical review physicians and oversees vendors providing staff performing medical ... The actual base salary offered will be in accordance with state or local minimum wage requirements ...
Manages a team of medical review physicians and oversees vendors providing staff performing medical ... The actual base salary offered will be in accordance with state or local minimum wage requirements ...
Associate Director, Medical Review Lead, MSRM Who we are: At Agios, we are fueled by connections to ... Our team's proven track record of executional excellence, combined with our depth of expertise and ...
Associate Director, Medical Review Lead, MSRM Who we are: At Agios, we are fueled by connections to ... Our team's proven track record of executional excellence, combined with our depth of expertise and ...
Medical Review Officer (MRO)
Kansas City, KS · On-site +1
The position directly supports management of the MRO-A team, nursing staff, and support personnel ... state licenses as required. * Board-certified or board-eligible; Occupational and Environmental ...
Medical Review Officer (MRO)
Kansas City, KS · On-site +1
The position directly supports management of the MRO-A team, nursing staff, and support personnel ... state licenses as required. * Board-certified or board-eligible; Occupational and Environmental ...
The position directly supports management of the MRO-A team, nursing staff, and support personnel ... state licenses as required. * Board-certified or board-eligible; Occupational and Environmental ...
The position directly supports management of the MRO-A team, nursing staff, and support personnel ... state licenses as required. * Board-certified or board-eligible; Occupational and Environmental ...
Medical Review Nurse III
Baltimore, MD · On-site +1
$80K - $95K/yr
Our team of over 500 professionals brings deep expertise and a shared commitment to delivering ... all State and Federal mandated regulations/guidelines. * Perform accuracy reviews as a Special ...
Medical Review Nurse III
Baltimore, MD · On-site +1
$80K - $95K/yr
Our team of over 500 professionals brings deep expertise and a shared commitment to delivering ... all State and Federal mandated regulations/guidelines. * Perform accuracy reviews as a Special ...
NC · On-site
$57/hr
Agency Office of State Human Resources Division Temporary Solutions Job Classification Title ... The Medical Review Unit is the arm of Customer Compliance Services that is responsible for ...
NC · On-site
$57/hr
Agency Office of State Human Resources Division Temporary Solutions Job Classification Title ... The Medical Review Unit is the arm of Customer Compliance Services that is responsible for ...
Reviews medical files and provides recommendations for utilization review, chart reviews, medical ... Maintain proper credentialing and state licenses and any special certifications or requirements ...
Reviews medical files and provides recommendations for utilization review, chart reviews, medical ... Maintain proper credentialing and state licenses and any special certifications or requirements ...
As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform ... Must have no adverse actions pending or taken against him/her by any State or Federal licensing ...
As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform ... Must have no adverse actions pending or taken against him/her by any State or Federal licensing ...
As a casual Medical Review Specialist III (Medical Reviewer III) for Empower AI, Inc., you will ... Must have no adverse actions pending or taken against him/her by any State or Federal licensing ...
As a casual Medical Review Specialist III (Medical Reviewer III) for Empower AI, Inc., you will ... Must have no adverse actions pending or taken against him/her by any State or Federal licensing ...
Registered Nurse - Medical Review Specialist
Springfield, VA · On-site
$45 - $50/hr
Registered Nurse - Medical Review Specialist A Hospitality Spotlight client supporting a federal ... Team
Registered Nurse - Medical Review Specialist
Springfield, VA · On-site
$45 - $50/hr
Registered Nurse - Medical Review Specialist A Hospitality Spotlight client supporting a federal ... Team
(Senior-) Director Head of Medical Review (Pharmacovigilance)
Saint Paul, MN · On-site
$168K - $268K/yr
Leading a team of medical review physicians, you will foster an environment of accountability, innovation, and professional growth while ensuring alignment with global regulatory standards. This ...
(Senior-) Director Head of Medical Review (Pharmacovigilance)
Saint Paul, MN · On-site
$168K - $268K/yr
Leading a team of medical review physicians, you will foster an environment of accountability, innovation, and professional growth while ensuring alignment with global regulatory standards. This ...
State Medical Review Team information
See salary details
$11.78 - $19.84
14% of jobs
$24.28 is the 25th percentile. Wages below this are outliers.
$19.84 - $27.91
21% of jobs
The median wage is $32.08 / hr.
$27.91 - $35.97
30% of jobs
$35.97 - $44.03
9% of jobs
$46.72 is the 75th percentile. Wages above this are outliers.
$44.03 - $52.10
3% of jobs
$52.10 - $60.16
13% of jobs
$60.16 - $68.23
1% of jobs
$68.23 - $76.29
4% of jobs
$76.29 - $84.35
0% of jobs
$84.35 - $92.42
0% of jobs
$92.42 - $100.48
5% of jobs
$11
$42
$100
How much do state medical review team jobs pay per hour?
What is the difference between State Medical Review Team vs Medical Reviewer?
| Aspect | State Medical Review Team | Medical Reviewer |
|---|---|---|
| Credentials | Medical degree, licensure, often specialized in medical review | Medical degree, licensure, may have specialization depending on role |
| Work Environment | State agencies, government offices, reviewing claims or cases | Hospitals, insurance companies, government agencies, reviewing medical records |
| Employer & Industry | State government, public health, Medicaid/Medicare | Insurance companies, healthcare organizations, government agencies |
| Common Search/Comparison | Yes | No |
The State Medical Review Team typically consists of healthcare professionals working within state agencies to review medical claims or cases, often focusing on Medicaid or Medicare. Medical Reviewers may work in various healthcare settings, including insurance companies or hospitals, and perform similar reviews. While both roles require medical credentials, the State Medical Review Team is more associated with government-led case assessments, whereas Medical Reviewers work across different healthcare organizations.
What are the key skills and qualifications needed to thrive as a State Medical Review Team member, and why are they important?
How does the State Medical Review Team collaborate with other healthcare professionals and state agencies during the disability determination process?
Is it hard to get a DHS job?
What's a typical day in a DHS job?
What is the State Medical Review Team?
What is the best job for a disabled person?
What are the salary ranges for DHS positions?

Contractor
Posted 26 days ago
Job description
Flexible Independent Contractor (1099) Remote Opportunity
Required State Medical License in Indiana, Kentucky, Nevada, Oregon, Oklahoma, South Carolina or Texas
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY: We are currently seeking Board-Certified physicians in DERMATOLOGY to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
- Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US).
- Covered under MRIoA's Errors and Omissions policy.
- Independent Contractor (1099) opportunity.
- Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
Requirements
- Must have a Medical Degree MD or DO
- Must have a current STATE unencumbered medical license in one of the above listed states
- Current Board Certification in Dermatology
- Must have 5 years of clinical experience, residency to be included
- Daytime availability is required for peer-to-peer conversations
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.