Medical Reviewer Jobs
Medical Reviewer jobs are open across pharmaceutical, biotechnology, insurance, and clinical research industries, from entry-level to senior and principal levels, with specializations in pharmacovigilance, clinical documentation review, and regulatory compliance. Find a role that fits below and apply directly.
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The candidate will have substantial clinical experience in pulmonary medicine, particularly COPD, emphysema, asthma, and complex respiratory conditions. Experience with Alpha-1 Antitrypsin Deficiency (AATD) is strongly preferred. This effort requires an objective medical expert who can independently evaluate the evidence and provide opinions based on clinical findings, established medical principles, and relevant research.
Responsibilities Include:
- Lead an independent medical review of approximately 4,500 pages of medical records and related investigative materials for a federal agency matter.
- Evaluate the individual's pulmonary medical history, including COPD, emphysema, asthma, Alpha-1 Antitrypsin Deficiency (AATD), and related respiratory conditions.
- Assess whether reported workplace exposure to secondhand tobacco smoke may have caused or aggravated respiratory symptoms or underlying pulmonary disease.
- Develop a detailed medical chronology identifying diagnoses, symptoms, treatment, clinical progression, and relevant findings.
- Prepare a comprehensive, objective expert medical report explaining findings, rationale, and limitations.
- Maintain strict confidentiality and comply with applicable federal contract and information-handling requirements.
- Meet project milestone and deliverable timelines, including preparation of a draft expert report within 30 calendar days of document handoff.
- Active, unrestricted medical license in at least one U.S. jurisdiction
- Board certification in Pulmonary Disease.
- Demonstrated clinical experience diagnosing, treating, and evaluating COPD, emphysema, asthma, and other complex respiratory conditions.
- Strong understanding of pulmonary function testing, respiratory diagnostics, and longitudinal disease progression.
- Experience reviewing complex medical records and developing evidence-based medical assessments and reports.
- Strong analytical, medical writing, and communication skills.
- Ability to independently assess medical causation, aggravation, alternative explanations, and limitations of available evidence.
- Ability to manage a substantial medical record review and meet established reporting deadlines.
- Ability to maintain objectivity and provide independent opinions.
- Be available and willing to participate in deposition preparation or provide expert testimony at judicial hearings, if requested and authorized by the Government.
Preferred Qualifications:
- Experience involving Alpha-1 Antitrypsin Deficiency (AATD)
- Experience evaluating occupational or environmental respiratory exposures, including secondhand tabacco exposure.
- Prior experience conducting independent medical examinations and medical-legal record reviews.
- Experience preparing expert reports, medical declarations, or written medical opinions for legal proceedings.
SPAARK Inc. is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
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Find Medical Reviewer JobsMedical Reviewer Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in medical reviewer jobs.
- Clinical, pharmacy, or nursing degree or equivalent licensed healthcare credential
- Experience reviewing adverse event reports, insurance claims, or clinical trial documentation
- Proficiency with MedDRA, ICD-10, or CPT coding systems
- Familiarity with FDA regulations, GCP guidelines, or CMS coverage criteria
- Strong written communication for producing clear, defensible review determinations
- Experience using electronic data capture or case management platforms
Tips for Your Medical Reviewer Job Search
Tailor your resume to review scope
Medical reviewer roles vary widely in what gets reviewed: adverse events, clinical trial protocols, insurance claims, or regulatory submissions. Call out your specific review domain on your resume so hiring managers can quickly confirm you match the team's focus.
Highlight coding systems you know
Employers expect fluency in MedDRA, ICD-10, or CPT coding depending on the role type. List every coding system you've used in a dedicated skills section, and note the volume or complexity of records you coded or reviewed in each position.
Apply early to roles that fit
Migrate Mate lists medical reviewer openings from across the United States in one place, so you can find roles that match your background and apply directly to each listing.
Target postings by regulatory pathway
FDA-regulated roles and CMS-focused roles require different experience. Filter your search by keywords like 'pharmacovigilance,' 'Part 11 compliance,' or 'utilization management' so you spend time on postings where your background is a direct fit.
Prepare a case review walkthrough
Many interviews include a live or take-home chart or case review exercise. Practice walking through your decision process out loud, explaining how you apply regulatory or clinical criteria to reach a determination, not just what conclusion you reached.
Negotiate the review quota expectation
Before accepting an offer, ask about daily or weekly case volume targets and how quality is measured against throughput. These numbers differ significantly across companies and directly affect your workload, so clarify them before your start date.
Medical Reviewer Jobs: Frequently Asked Questions
Which companies are hiring the most medical reviewers?
BoardCerts, IPRO, and SPAARK are hiring the most medical reviewers right now, with openings concentrated in Texas, Ohio, and Louisiana, based on current listings on Migrate Mate as of November 2026. Pharmaceutical companies, health insurers, and contract research organizations consistently post the highest volume of openings.
How many medical reviewer jobs are remote?
About 92% of medical reviewer openings are fully remote or hybrid as of November 2026, reflecting the document-driven nature of most review work. Roles in pharmacovigilance case processing and insurance utilization management tend to have the highest remote availability, while positions requiring on-site access to lab systems or regulated archives are more likely to be in-person.
How do you become a medical reviewer?
Start by earning a clinical degree in medicine, pharmacy, nursing, or a related health science field. Build hands-on experience in a setting where you apply diagnostic or regulatory criteria to patient records or case reports. Gain familiarity with the specific coding systems or regulatory frameworks relevant to your target sector, whether that is drug safety, insurance, or clinical research. Roles with a quality assurance or compliance component in a healthcare or pharma setting are strong entry points.
Can you get a medical reviewer job with limited experience?
Some entry-level medical reviewer roles in health insurance and clinical research are open to candidates with a clinical degree and minimal post-graduation experience, particularly in utilization management or chart abstraction. Certifications in medical coding or clinical documentation improvement can substitute for direct review experience. Highlighting any exposure to case-level decision-making, even in a clinical rotation or quality assurance internship, strengthens an application at this stage.
What does the medical reviewer interview process look like?
Most processes begin with a recruiter screen focused on your clinical background and familiarity with relevant regulations or coding systems. A hiring manager interview follows, often including scenario questions about how you handle ambiguous cases or conflicting clinical evidence. Many employers add a practical exercise, such as a sample chart review or mock determination write-up. Final rounds may involve a panel with regulatory, medical affairs, or quality team leads depending on the organization.
Where can I find and apply to medical reviewer jobs?
You can find and apply to medical reviewer jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your background, then apply directly to each one that fits.
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