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State Medical Review Team Jobs (NOW HIRING)

i3logix

Medical Review Specialist

Denver, CO · On-site

$21/hr

Medical Review Specialist (MRS) About i3screen: i3screen is a privately held subsidiary of i3logix ... and state regulatory guidelines * Communicate turnaround problems to the management team as they ...

Prime Healthcare

Medical Review Coordinator

Aurora, IL

$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 ...

Novacore

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 ...

Novacore

Medical Review Nurse

Conshohocken, PA · On-site

Why join the Novacore team? Because your next stellar chapter starts here - and we're building ... Medical Review Nurse Carbon Stop Loss Solutions is a leading managing general underwriter (MGU) in ...

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... S. state or territory, specifically KENTUCKY medical state license . * Board Certification:

Abbott

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 ...

Abbott

Medical Review Officer (MRO)

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 ...

RELI GROUP INC

Medical Review Nurse III

Baltimore, MD · Remote

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 ...

RELI Group Inc.

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 ...

Empower AI Inc.

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 ...

Empower AI Inc.

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 ...

Empower AI Inc.

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 ...

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All JobsState Medical Review Team Jobs

State Medical Review Team information

See salary details

$11

$42

$100

How much do state medical review team jobs pay per hour?

As of Jul 6, 2026, the average hourly pay for state medical review team in the United States is $42.06, according to ZipRecruiter salary data. Most workers in this role earn between $22.84 and $54.09 per hour, depending on experience, location, and employer.

What is the difference between State Medical Review Team vs Medical Reviewer?

AspectState Medical Review TeamMedical Reviewer
CredentialsMedical degree, licensure, often specialized in medical reviewMedical degree, licensure, may have specialization depending on role
Work EnvironmentState agencies, government offices, reviewing claims or casesHospitals, insurance companies, government agencies, reviewing medical records
Employer & IndustryState government, public health, Medicaid/MedicareInsurance companies, healthcare organizations, government agencies
Common Search/ComparisonYesNo

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?

To thrive as a State Medical Review Team member, you need a strong background in medicine or healthcare, typically supported by an MD, DO, RN, or related licensure, and experience in disability evaluation or case review. Familiarity with medical documentation systems, state and federal disability criteria, and electronic health records is essential. Attention to detail, critical thinking, and effective communication are key soft skills for assessing complex medical cases and collaborating with interdisciplinary teams. These skills ensure accurate, fair, and timely eligibility determinations for public health and disability benefit programs.

How does the State Medical Review Team collaborate with other healthcare professionals and state agencies during the disability determination process?

The State Medical Review Team (SMRT) frequently works with a variety of professionals, such as physicians, psychologists, social workers, and case managers, to gather comprehensive medical evidence needed for disability determinations. Team members also coordinate closely with state agencies, including social services and public health departments, to ensure timely and accurate assessments. Effective communication and collaboration are essential, as the team often consults external healthcare providers for additional records or expert opinions. This multidisciplinary approach helps maintain fairness and consistency in evaluating eligibility for state assistance programs.

Is it hard to get a DHS job?

Getting a position on the State Medical Review Team can be competitive, often requiring relevant healthcare experience, certifications, and knowledge of medical review processes. Candidates typically need strong analytical skills and familiarity with medical documentation, with hiring processes involving background checks and interviews.

What's a typical day in a DHS job?

A State Medical Review Team member's day involves reviewing medical documentation, evaluating claims for eligibility, and ensuring compliance with regulations. The role requires attention to detail, knowledge of medical and legal standards, and often involves using specialized case management software. Work is typically performed during standard business hours in an office setting.

What is the State Medical Review Team?

The State Medical Review Team (SMRT) is a group of medical professionals who evaluate medical evidence to determine disability status for state and federal assistance programs. They review applications to decide if an individual's medical condition meets the criteria for programs like Medicaid Disability or Social Security Disability. The SMRT's decisions help ensure that benefits are provided to those who medically qualify, based on standardized guidelines. Their work often involves collaborating with healthcare providers and reviewing detailed medical records.

What is the best job for a disabled person?

The best job for a disabled person depends on individual abilities, interests, and accommodations needed. Roles such as remote work, administrative support, or positions with flexible schedules often provide accessible options. Vocational training and workplace accommodations can help ensure a suitable and productive employment environment.

What are the salary ranges for DHS positions?

The salary range for State Medical Review Team positions varies depending on experience, education, and location, typically starting from around $40,000 to over $70,000 annually. These roles often require knowledge of medical review processes and may include benefits such as health insurance and retirement plans.
More about State Medical Review Team jobs
What states have the most State Medical Review Team jobs? States with the most job openings for State Medical Review Team jobs include:
What job categories do people searching State Medical Review Team jobs look for? The top searched job categories for State Medical Review Team jobs are:
State Medical Review Team jobs near you
Infographic showing various State Medical Review Team job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 83% Full Time, 11% Part Time, and 5% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $87,476 per year, or $42.1 per hour.
Sr. Manager, Medical Review

Sr. Manager, Medical Review

TalentBurst, Inc.

Plainsboro, NJ • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement

Posted 24 days ago

Job description

Job Title: Sr. Manager, Medical Review
Location: Remote
Contract: 1 year with possible extension
What are the top 5 skills/requirements this person is required have?
1. Represent Medical in the Material Review Process (to guarantee medical, clinical, and scientific data accuracy, relevance, and objectivity).
2. Provide proactive guidance as needed for brand concepts and campaigns. Collaborate with commercial business partners early in the development of promotional materials to enhance efficiency.
1. Serve as medical / scientific expert to advise commercial colleagues on proper product and disease state claims development.
2. Engage with Medical Affairs Directors to ensure promotional materials are aligned with medical strategy and tactics.
3. Maintain a comprehensive knowledge of disease pathophysiology, diagnostic techniques, appropriate therapeutic approaches, competitive landscape, and patient outcomes.
What years of experience, education, and/or certification is required?
Minimum of 1 year of experience in a medical review role
What is a nice to have (but not required) regarding skills, requirements, experience, education, or certification?
Knowledge/expertise of Gastroenterology and/or Immunology therapeutic area
What is the environment that this person will be working in (i.e. group setting vs individual role)? Remotely, both individually (reviewing) and in a group setting (providing feedback and attending review meetings to review upcoming and current promotional content).
Other notable details about the environment from the hiring manager about this role:
Role works cross-functionally with multiple internal stakeholders/partners (i.e. regulatory review, legal, ethics, Medical affairs, commercial).
What positions/background experience do you feel are successful in this role:
Previous experience within Medical Affairs or medical information
JOB SUMMARY:
• Electronically review promotional and other materials and provide medical expertise and review as described above. Includes discussing and collaborating with appropriate review colleagues from other functions.
• Attend, advise, and approve in review meetings as the lead Medical Reviewer for the designated therapeutic area.
• Responsible for providing proactive guidance as needed for brand concepts and campaigns.
• Support review of non-promotional materials, and development and review of other related medical affairs materials as required.
• Support medical affairs tactics as required
KEY DUTIES AND RESPONSIBILITIES:
• For designated therapeutic area of responsibility, attends, advises, and approves in review meetings as the lead Medical Reviewer for promotional review.
• Functions as lead Medical Reviewer and sign-off for all promotional materials.
• Leads and contributes to medical promotional review
• Provides proactive guidance as needed for brand concepts and campaigns. Engages Commercial business partners early in the development of promotional materials to enhance efficiency.
• Supports non-promotional review, and other medical affairs initiatives and tactics as required and if appropriate.
• Review of commercial promotional and non-promotional content as well as medical content
MINIMUM REQUIREMENTS
Education and Experience
• Advanced health science education or equivalent combination of education and experience required. (PhD, PharmD, or MD preferred)
• 1-5 years experience in clinical practice, academic research, pharmaceuticals, regulatory/scientific, or medical science liaison (MSL) environment
• Previous experience as Regulatory or Medical reviewer for promotional and non-promotional materials preferred (ideally greater than 1 year).
• Immunology/Gastroenterology experience preferred
• Medical affairs or medical communications experience preferred
Essential Skills and Abilities
• Ability to learn and convey medical information effectively.
• Works individually (reviewing materials electronically)
• Works collaboratively with other review team members
#TB_PH
#ZR

Why TalentBurst?
At TalentBurst, we deliver more than talent, we deliver outcomes. We partner with you to move quickly and connect you to opportunities aligned with your skills and long term growth.

Backed by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships.

We offer competitive compensation and comprehensive benefits, including medical, dental, vision, and retirement options.

TalentBurst is an equal opportunity employer committed to an inclusive and diverse workforce.

Company Description

Founded in 2002 by three former Monster.com executives; TalentBurst is an award-winning full-service Staffing Firm working directly with Fortune 500 companies in the US and Canada. We specialize in Contract and Contract to Permanent roles across many industries and have direct/contractual relationships with all our clients. Please visit our website www.talentburst.com or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CA
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About TalentBurst

Sourced by ZipRecruiter

TalentBurst is a leading provider of Information Technology and Engineering staffing solutions based in Natick, Massachusetts, US. An industry veteran with two decades of experience in their portfolio, the company's services range from IT consulting, life sciences, HR solutions, payroll services, and more. TalentBurst was founded with a mission to provide world-class, global staffing services to clients of all sizes. They strive to provide unmatched quality and service to their clients, which has earned them the reputation of being a highly respected and trusted staffing firm.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Natick, MA, US

Year founded

2002

Social media

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