Medical Review Jobs
Browse 79 exciting jobs hiring in Medical Review now. Check out companies hiring such as Dane Street, LLC, Bristol Myers Squibb, Telligen in Grand Prairie, Glendale, Ontario.
Dane Street is hiring a remote Group Health Customer Service Representative to manage referral intake, schedule reviewers, and maintain client and reviewer communications for medical review cases.
Bristol Myers Squibb seeks a Clinical Scientist in Hematology to design and execute assigned clinical trial activities and contribute medical and scientific input across study deliverables.
Support clinical review workflows at Telligen by coordinating medical information, communicating review decisions, and ensuring data integrity in a hybrid in-office role.
Highmark is hiring a Remote Medical Case Manager (PA-licensed) to coordinate care, develop individualized plans, and manage complex medical and psychosocial cases for Pennsylvania members.
Dane Street is seeking an experienced RN QA Specialist to perform clinical quality assurance on long-term disability physician reports and ensure timely, accurate deliverables for clients.
A remote, short-term Administrative Coordinator role supporting a medical client with medical records, HIPAA-compliant document handling, data entry, and client follow-ups.
Experienced quality leader needed to design and operationalize contract-level quality solutions that improve performance across Stars, HEDIS, and MIPS for a national physician enablement platform.
Provide focused, in-person disability exams and medical record reviews for Veterans as an NP or PA in Fargo, supporting the VA disability benefits process without treatment responsibilities.
Dane Street seeks board-certified PM&R and Pain Management physicians to serve as independent contract reviewers providing telework disability review opinions.
Dane Street is recruiting board-certified Interventional and Diagnostic Radiologists to perform remote, per-case medical necessity reviews and appeal determinations on a flexible contract basis.
Experienced RN with utilization management and prior authorization expertise needed to validate and improve AI-driven prior authorization workflows at Innovaccer.
Senior Quality Compliance Professional needed to lead medical record reviews, analyze quality data, and drive corrective actions for Humana’s care coordination and driver safety initiatives in Indiana.
Provide inpatient rehabilitation case management (RN or LMSW) on a per-diem basis, coordinating care, discharge planning, and utilization management for complex rehab patients at Ochsner Rehabilitation Hospital.
Rho is hiring a board-certified Psychiatrist to serve as a remote Medical Director responsible for medical monitoring, safety review, and clinical development input across global clinical trial programs.
Dane Street is hiring Board-Certified Plastic Surgeons licensed in Louisiana to perform flexible, remote utilization reviews on a contract basis, paid per case.
Experienced physician needed to serve as Medical Director at a collaborative CRO, providing medical oversight, safety review, and scientific guidance across clinical programs.
Dane Street is recruiting NY-licensed, Board-Certified Occupational Medicine physicians to perform flexible, remote utilization reviews and produce guideline-based decisions on a per-case contract basis.
Centinela Hospital Medical Center is hiring an RN Case Manager to coordinate inpatient care, perform concurrent review for medical necessity, and support cost-effective, high-quality patient outcomes.
Presbyterian Healthcare Services seeks a detail-oriented Health Services Assistant in Albuquerque to manage prior authorizations, claims-related documentation, provider coordination, and data entry to support patient care and clinical operations.
Donor Network of Arizona is hiring an Organ Referral Liaison to manage HBV referrals, evaluate donor suitability, and coordinate family and hospital communications on the night shift.
Klick Health seeks an experienced Medical Writer on a 3-month contract to develop clear, strategic scientific content across medical communications deliverables while working closely with cross-functional teams and clients.
The Senior Scientific Writer will craft accurate, engaging scientific content and lead content strategy to amplify St. Jude’s research and clinical discoveries to diverse audiences.
Experienced litigation paralegal wanted by a nationally respected trial law firm to provide defense and products liability trial support in a hybrid Los Angeles role.
Mass General Brigham is hiring a remote Clinical Review Specialist to perform pre-visit chart reviews, identify HCC/risk-adjustment opportunities, and educate providers to improve documentation accuracy.
Cognizant is hiring a remote Claims Processor to adjudicate professional and institutional medical claims accurately using Facets and standard coding guidelines.
American Specialty Health is hiring a licensed, experienced acupuncturist to serve remotely as Manager I — CQE Acupuncture, conducting medical necessity reviews and supporting clinical quality and credentialing activities.
Work remotely as a Medical Coding Reviewer I at Centene, conducting clinical claim and record reviews to ensure accurate coding, compliance, and identification of billing issues.
A per-diem student research intern opportunity at Boston Medical Center to assist with qualitative data collection and NVivo-based analysis for a study on perinatal mental health screening and referral pathways.
Amazon One Medical seeks a detail-oriented Medical Coder I to ensure coding accuracy for professional fee and risk-adjustment claims while partnering with revenue cycle and Medicare risk teams.
Lead international regulatory strategy for advertising and promotion at AbbVie, ensuring global compliance while enabling strategic brand communications for marketed and pipeline products.
Experienced, licensed Physician needed to conduct comprehensive medical screenings and determine military medical eligibility at a USMEPCOM processing site in Lansing, MI for International SOS Government Medical Services.
Experienced, Board-Certified Orthopedic Spine Surgeons with active Texas licenses are needed to perform independent record reviews, counter-affidavits, and expert witness services on a per-case 1099 contract basis.
Senior medical affairs leader needed to drive oncology/hematology strategy, clinical evidence generation, and cross-functional medical support for AbbVie's product portfolio in a hybrid San Francisco role.
CVS Health is hiring a remote Utilization Management Nurse Consultant (Behavioral Health) to conduct clinical reviews, manage prior authorizations, and apply evidence-based criteria for behavioral health and substance abuse services.
Experienced utilization review professional needed to manage authorizations, appeals, audit tracking, and serve as an SME for the UR team at Saint Mary of Nazareth in Chicago.
Select Medical in Mount Clemens is seeking an experienced RN/RT/SW Case Manager to manage utilization review, discharge planning and multidisciplinary coordination for complex, post-ICU patients.
Senior Scientific Editor for Med (Cell Press) to evaluate manuscripts, manage peer review, commission review content, and engage clinical and research communities to build a leading medical review journal.
Oscar Health is hiring a Payment Integrity Analyst in Tempe to investigate dual coverage, verify claim payments, and support Coordination of Benefits initiatives.
Presbyterian Healthcare Services is hiring a Health Services Assistant in Albuquerque to manage prior authorizations, medical records coordination, claims research, and provider communications.
Pointe Advisory seeks a detail-oriented Life Sciences Consulting Intern to perform primary and secondary market research and help deliver evidence-based strategic recommendations for top healthcare clients during a 10-week summer engagement.
Dane Street seeks board-certified Emergency Medicine physicians licensed in Texas to perform remote, per-case medical-legal reviews and counter-affidavits with occasional deposition/trial duties.
Dane Street is recruiting Texas-licensed, board-certified neurologists to provide contract physician-reviewer services for contra-affidavit work, IME support, and expert testimony.
Dane Street is hiring board-certified neurosurgeons licensed in Texas to perform contract-based counter-affidavit reviews and serve as expert witnesses for legal medical matters.
Experienced, board-certified Internal Medicine physicians with an active Texas license are needed to perform independent medical record reviews and counter-affidavits for legal clients on a flexible contract basis.
AbbVie is hiring an Account Executive in Irvine to lead healthcare communications projects, drive campaign strategy, manage budgets, and coordinate cross-functional teams to deliver on-brand, compliant promotional materials.
Experienced oncology medical affairs leader needed to drive scientific strategy, clinical evidence generation, medical education, and safety oversight for AbbVie’s hematology/oncology programs on a hybrid schedule based in Mettawa, IL.
Dane Street is recruiting Texas-licensed, board-certified Orthopedic Surgeons to provide contract physician-review and counter-affidavit/expert witness services for legal clients.
Serve as the Medicaid Division’s hearing representative—researching complex medical records, applying statutes and case precedent, and making coverage determinations with a focus on equity and regulatory compliance.
Experienced licensed psychologist needed to perform medical necessity reviews, appeals, and peer-to-peer consultations for Telligen’s managed care contracts on a part-time 1099 basis.
EnableComp is hiring a Resolution Analyst to manage denials and underpayment appeals, leveraging contract review and proprietary RCM tools to recover revenue for healthcare clients.
How much do medical review jobs pay?
Below 50k*
3
|
50k-100k*
1
|
Over 100k*
7
|
Top companies hiring for medical review jobs
Best cities to find medical review jobs
- San Francisco 1
- Lansing 1
- Irvine 1
- Atlanta 1
- Oklahoma City 1
