Remote Medical Reviewer Jobs in North America
Find remote medical reviewer jobs in North America. Browse flexible work-from-home medical reviewer positions from companies hiring in North America. Start your remote career today.
Medical Clinical Reviewer, Clinical Program Specialist – Managing Consultant
Clinical reviewer supporting Guidehouse’s federal healthcare programs. Evaluating medical necessity, documentation, care pathways, and operational decisions across complex healthcare environments.
Pediatric Rheumatology – Independent Medical Reviewer
Board-certified pediatric rheumatology physician conducting objective chart reviews for MMRO, a URAC-accredited medical review organization. Producing evidence-based determinations that support healthcare decisions.
Pediatric Nephrologist – Independent Medical Reviewer
Board-certified pediatric nephrologist conducting objective, evidence-based medical chart reviews for MMRO. Producing clear determinations remotely as an independent contracted physician reviewer.
Clinical Data Reviewer – Oncology
Clinical Data Reviewer specializing in Oncology at Syneos Health. Ensuring data readiness and conducting clinical reviews for oncology studies.
RN Medical Reviewer II
RN Medical Reviewer II performing claims reviews for medically complex services. Supporting healthcare administration for BlueCross BlueShield's subsidiary companies while working remotely.
Reviewer II, Medical
Reviewer II, Medical performing medical reviews for claims in a remote role with BlueCross BlueShield. Requires nursing licensure and clinical experience for this full-time position.
Medical Reviewer III – Home Health and Hospice
Medical Reviewer III conducting medical reviews for claims and services at BlueCross BlueShield of South Carolina. Analyzing medical information and educating staff on coverage determinations while ensuring compliance.
Medical Reviewer III – Home Health and Hospice
Medical Reviewer III handling complex medical claim reviews and ensuring compliance with clinical guidelines for BlueCross BlueShield of South Carolina. Join a longstanding insurance leader providing quality service in the healthcare sector.
Clinical Reviewer / Care Manager
Clinical Reviewer managing data collection and communications for patient reviews at Phelps Health. Responsible for authorizations and reviews for Medicare and other third party payers.
Genetic Counselor, Clinical Reviewer
Genetic Counselor Clinical Reviewer responsible for evaluating genetic testing requests and authorizing coverage. Ensuring expert advice is available for physicians and labs regarding genetic testing.
Senior Medical Reviewer
Team Lead for specialty programs, providing guidance and support to medical review staff. Overseeing quality assurance and compliance initiatives at Palmetto GBA, a BlueCross BlueShield subsidiary.
Nurse Practitioner, Medical Reviewer – Reasonable Accommodations Program
Nurse Practitioner reviewing medical documentation for Reasonable Accommodations Program. Providing independent review and analysis to support RA determinations under the Rehabilitation Act of 1973.
RN Clinical Reviewer – IDR
Registered Nurse Clinical Reviewer responsible for conducting comprehensive medical-legal reviews remotely for a non-profit organization. Collaborating with administrative and clinical teams to ensure compliance and accurate determination.
Medical Claims Reviewer – Home Health
Medical Claims Reviewer at Broadway Ventures handling medical claims reviews and determinations based on clinical information. Supporting healthcare clients through expert review and decision documentation.