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State Medical Review Team Jobs (NOW HIRING)

HireRight

Senior Medical Review Officer

Tulsa, OK

... with federal, state, and client-specific requirements. In addition to medical review ... Provides leadership to team leaders or supervisors. * Establishes criteria, formulates projects ...

Prime Healthcare

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 ...

Empower AI Inc.

Medical Review Specialist V

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.

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:

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 ...

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 · 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 ...

State of North Carolina

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 ...

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 ...

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All JobsState Medical Review Team Jobs

State Medical Review Team information

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$11

$42

$100

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

As of Jul 5, 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.

Dermatology Utilization Review - Remote - Contract (1099)

MRIoA

Dallas, TX • On-site, Remote

Contractor

Posted 26 days ago

Job description

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.

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