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State Medical Review Team Jobs (NOW HIRING)

Birmingham

Quality Review Coordinator

Birmingham, AL

BASIC FUNCTION Perform and administer level 2 Medical Review Pre-Determinations according to ... Perform medical and utilization predeterminations of PMD and/or non-PMD providers both in state and ...

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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 Jun 14, 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 job makes $10,000 a month without a degree?

A State Medical Review Team member typically does not earn $10,000 a month without a degree; these roles usually require specialized training and certifications. High-paying medical or healthcare-related jobs that can reach this income level often involve experience, advanced skills, or managerial responsibilities, but generally require relevant education or licensing. Most roles with such earnings in healthcare are not accessible without formal qualifications or advanced training.

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.

What jobs in the US pay 300,000 a year?

In the context of a State Medical Review Team, high-paying roles typically include senior medical directors, healthcare executives, or specialized physicians with extensive experience and certifications, often earning over $300,000 annually. These positions usually require advanced degrees, leadership skills, and years of relevant experience in healthcare or medical administration.

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.

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 salary for DHS jobs?

The salary for State Medical Review Team positions, which are part of the Department of Human Services, varies based on experience, education, and location, but typically ranges from approximately $40,000 to $70,000 annually. These roles often require knowledge of medical review processes and may include benefits such as health insurance and retirement plans.

What jobs pay 2000 a day?

Jobs within the State Medical Review Team typically do not pay $2,000 a day, as they are government or healthcare roles focused on medical review and compliance. High daily earnings are more common in specialized medical consulting, legal medical expert testimony, or executive healthcare positions that require advanced certifications and experience. Such roles often involve complex case analysis, long hours, and high-level expertise.
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 2% As Needed, 39% Full Time, 52% Part Time, 2% Temporary, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $87,476 per year, or $42.1 per hour.
Physician / Gastroenterology / California / Permanent / Associate Medical Director - Gastro - 100...

Physician / Gastroenterology / California / Permanent / Associate Medical Director - Gastro - 100...

eviCore healthcare

Riverside, CA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Job description

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.
Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.
Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.
Participates in strategic planning for and evaluation of the Care Management
The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).
Must have a minimum of 5 years clinical experience, beyond residency/fellowship
Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required
No nights, no weekends, not call.
Predictable work schedule
Full and part time opportunities
Salaried position with benefits
Supportive organization with collaborative culture
eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to:
Flexible scheduling and work/life balance with remote and work from home opportunities
4 weeks of PTO(starting) per year plus paid holidays
One week of CME
Education assistance, tuition reimbursement and professional certifications
Health, dental, vision, and life benefits with employer funded HSA
Paid Volunteer Community Service Days
Ample opportunities for growth, advancement, and promotion
401k retirement plan with company match of 50% employee contributions up to 6%
eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation

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