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State Medical Review Team Jobs (NOW HIRING)

Lincare Holdings, Inc.

Billing Review Specialist

Largo, FL · On-site

$17.25 - $23.50/hr

  • Medical

... team and/or Manager of the Centralized Billing Review team. JOB FUNCTIONS * Contacts payors at ... Pursues, maintains, and communicates medical coverage/guideline changes/updates * Verifies ...

Baptist Health

MRO Assistant

Lexington, KY

$17.75 - $22.50/hr

The Medical Review Officer Assistant functions as a member of the healthcare team demonstrating knowledge in drug screen collection and breath alcohol collections. Minimum Training And Education ...

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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 Aug 16, 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 skills and qualifications are needed to thrive as a State Medical Review Team member?

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.

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.
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 August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $87,476 per year, or $42.1 per hour.

Independent Medical Evaluator- IME

Managed Medical Review Organization

Tupelo, MS • On-site

Contractor

Posted 5 days ago

Job description

About MMRO
At MMRO, we support fair, consistent, and medically sound disability and workers’ compensation determinations through objective, evidence-based physician review. Our national panel of board-certified physicians plays a crucial role in advancing the integrity of the review process by ensuring every evaluation is grounded in clinical expertise, regulatory compliance, and unbiased medical judgment.
Position Overview
As an Independent Medical Evaluator (IME) with MMRO, you will provide impartial medical assessments that help guide accurate and defensible benefit and disability decisions. You will leverage your clinical training and specialty expertise to interpret medical evidence, assess functional impact, and deliver clear, well-reasoned medical opinions.
This is an independent contractor role with flexible scheduling and the opportunity to contribute meaningfully to a process that impacts claimants, employers, and insurers across the country.
Key Responsibilities
Evidence-Based Medical Review
  • Conduct independent medical evaluations and/or chart reviews in alignment with state regulations, MMRO standards, and clinical best practices.
  • Review medical records, diagnostic data, and treatment histories to render objective and defensible conclusions.
  • Perform in-person examinations when required and assess functional limitations, causation, and impairment using established guidelines.
Clear, Defensible Reporting
  • Produce well-structured medical reports that clearly communicate your clinical reasoning and conclusions.
  • Ensure reports are thorough, evidence-based, and submitted within required timeframes.
  • Document findings in a manner that supports transparency, regulatory compliance, and high-quality decision-making.
Professional Integrity & Collaboration
  • Maintain impartiality, adhere to ethical standards, and avoid conflicts of interest.
  • Comply with applicable licensing requirements, QME regulations (if relevant), and MMRO quality expectations.
  • Communicate with MMRO’s Panel Health Program and case teams to clarify questions or provide medical insight when needed.
Qualifications
Required
  • MD or DO with an active, unrestricted medical license.
  • Board certification in your specialty.
  • Minimum of 3–5 years of post-training clinical experience.
  • Strong analytical and written communication skills.
  • Commitment to objective, evidence-based medical assessment.
Preferred
  • Prior experience with IMEs, QMEs, disability determination, or peer review.
  • Familiarity with the AMA Guides to the Evaluation of Permanent Impairment (where applicable).
  • Knowledge of workers’ compensation systems, disability programs, or functional assessment models.
  • Experience preparing medicolegal or administrative reports.
What It Means to Partner With MMRO
  • Flexible scheduling—accept assignments based on your availability.
  • Opportunity to contribute to fair, accurate, and clinically sound determinations.
  • Dedicated support from MMRO’s Panel Health Program, quality assurance teams, and medical leadership.
  • A collaborative environment focused on professionalism, integrity, and continuous improvement.

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