Medical Reviewer
ProPharma Group
For the past 25 years, ProPharma has improved the health and wellness of patients by providing advice and expertise that empowers biotech, med device and pharmaceutical organizations of all sizes to confidently advance scientific breakthroughs and introduce new therapies. ProPharma partners with its clients through an advise‑build‑operate model across the complete product lifecycle. With deep domain expertise in regulatory sciences, clinical research solutions, quality & compliance, pharmacovigilance, medical information and R&D technology, ProPharma offers an end‑to‑end suite of fully customizable consulting solutions that de‑risk and accelerate our partners’ most high‑profile drug and device programs. Responsibilities Providing compliant, medically accurate and scientifically sound solutions while providing marketing with competitive solutions for consumer, healthcare provider and managed care promotional and non‑promotional materials. Review of independent scientific, medical and clinical materials for established brand and derivative materials for assigned projects. Acting as lead for Medical role during Promotion Review Committee (PRC) meetings and overseeing the medical advertising promotional review process. Providing guidance on the medical and scientific support for PRC and, if need be, elevating the risk to their manager/line manager within the client. Provide detailed review of promotional, disease awareness and medical materials. Participate in cross‑functional team meetings and prioritization discussions for the assigned promotion review team. Communicate information provided during promotion review meetings to the broader Medical team when appropriate and elevating risk items to management. Partner with job owners and other stakeholders in the execution and creation of tactics related to label changes for assigned brands. Stay up to date with relevant clinical data, publications and treatment guidelines published by medical associations. Monitor US regulatory promotional environment by staying up to date on FDA regulations and guidance, reviewing untitled and warning letters issued to pharmaceutical companies published by OPDP, APLB, Center for Devices and Radiological Health (CDRH), Federal Trade Commission (FTC), National Advertising Division (NAD) or other governing bodies. As appropriate, attendance at major FDLI, DIA and other industry/FDA meetings. Necessary Skills and Abilities Strong ability to work independently, with flexibility and a strong ability to connect and collaborate with clients and team members while working remotely. Proven ability to provide strategic direction and innovate, forward‑thinking medical guidance and analyze and interpret efficacy and safety data. Working knowledge of FDA and pharmaceutical regulatory and compliance guidelines on advertising and promotion. Deep understanding of scientific data from clinical trials, review articles, medical textbooks, etc. and how this data supports claims made consistent with the FDA approval label. Understanding of pharmaceutical advertising/creative review and approval process. Proficiency in computer applications and configuration, including Microsoft Office, Adobe Acrobat. Proficiency in Veeva Vault Promo Mats or other electronic review platforms. Educational Requirements A Bachelor's degree is required, focus in Medical, Science, Marketing, Business or Communications; a PharmD is highly preferred. Experience Requirements 5+ years of related experience in the pharmaceutical/biotech industry is required. May consider related experience from healthcare advertising agency. Functional experience in pharmaceutical industry medical affairs is required. Strong project management experience is required, in pharmaceutical industry is preferred. We celebrate our differences and strive to create a workplace where each person can be their authentic self. We are committed to diversity, equity, and inclusion. Employees are encouraged to unleash their innovative, collaborative, and entrepreneurial spirits. With a holistic approach as an Equal Opportunity Employer, we provide a safe space where all employees feel empowered to succeed. All applications to roles at ProPharma are personally reviewed by a member of our recruitment team. We do not rely on AI screening tools to support our hiring process. You will always receive an outcome to your application so that you have an answer from us – whether you’re successful or not. Whilst ProPharma supports remote working, we also recognise the value that comes from in‑person collaboration. As such, we encourage any new hires that are based within a reasonably short commute of one of our offices to work on a hybrid basis and spend some time working from that office location, as agreed with your manager. All applications will be treated on their own merit and candidates will not be at any advantage or disadvantage based on their proximity to an office. #J-18808-Ljbffr
$62k - $65k
...collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation. Registered nurse (RN) Medical Reviewer Location: Remote Type: Full-Time Rate: $62-$65K About Broadway Ventures Broadway Ventures is a veteran-owned small business (...SuggestedFull timeContract workTemporary workFor contractorsWork at officeRemote work- Peraton is seeking a Medical Reviewer for SafeGuard Services (SGS) to conduct medical record reviews and apply clinical judgment to claim decisions. You will research claims data, identify problems, and support fraud investigations using a range of tools. The role requires...SuggestedRemote job
- ...collaborative and dynamic environment where every day we build the future. The Role We are seeking a creative and passionate Medical Reviewer to join our team. You will work with our Medical Integration team to develop and review medical content across teams. The ideal...SuggestedFlexible hours
$28 - $34 per hour
...for a new challenge, Under the direction of the Sr. Manager Risk Adjustment Audit, the Risk Adjustment Coder is responsible for reviewing medical records to apply appropriate diagnosis coding in compliance with International Classification of Diseases, Tenth Revision (ICD...SuggestedHourly payTemporary workPart timeWork experience placementInternshipSeasonal workWork at officeRemote work- ## Medical Reviewer II - Palmetto GBAApplyremote type: Remotelocations: ****@*****.*** South Carolina: ****@*****.*** Alabama: ****@*****.*** Tennessee: ****@*****.*** Georgiatime type: Full timeposted on: Posted Yesterdaytime left to apply: End Date: August 28, 2026 (12 days left to apply)job requisition id: R1...SuggestedFull timeFor contractorsWork experience placementLive inWork at officeLocal areaWork from homeHome officeMonday to FridayShift work
- BlueCross BlueShield of South Carolina is seeking a Registered Nurse to perform medical reviews using clinical information and established guidelines. The role includes documenting decisions and supporting medical claims and utilization practices from a remote location...Remote job
- Palmetto GBA, a BlueCross BlueShield South Carolina subsidiary, seeks a Medical Reviewer II (RN) to perform medical claim reviews and determine medical necessity using established guidelines. The role documents decisions and supports utilization review across multiple...Remote jobFull time
$70k - $85k
Description: Medical Reviewer, RN Location: Remote Salary: $70,000-85,000 annually, based on years of experience About J29 J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee...For contractorsLocal areaRemote work- Palmetto GBA is seeking an experienced RN for remote utilization review to evaluate medical claims using established criteria and guidelines. The role emphasizes timely decisions, documentation, and collaboration with internal teams. You will work from a home office and...Remote jobWork from homeHome office
- BlueCross BlueShield of South Carolina is seeking a registered nurse to perform utilization review for medical claims in a home-office setting. The role includes evaluating complex services, preauthorizations, and appeals while ensuring accurate coding and reimbursement...Home office
$5,000 - $7,000 per month
...Medical Graduate - Physician Extender Full-time: $5,000$7,000 / month Application Window: Aug to Sept 2026 About the Role:... ...Workers' Compensation forms, and patient follow-up scheduling. Review imaging and test results; assist with care coordination and treatment...Full timeWork at office$29 - $30 per hour
...Medical Records Assistant – Full-Time $29–$30/hour Easley, SC About Us Powdersville Post Acute is a 60-bed skilled nursing and rehabilitation facility located in Easley, SC, just minutes from downtown Greenville. We believe that every role matters, and our leadership team...Full timeReliefLocal area- ...organization, standards, and efficiencies. The Role We are seeking a Medical Records Clerk to join our dynamic legal team. This full‑time... ...initiative in managing tasks and projects Key Responsibilities Reviewing medical and billing record affidavits for completion and...Full timeWork at office
- ...gaps, implement solutions, and optimize electronic health record (EHR) use. Key responsibilities include conducting detailed chart reviews, performing clinical validation, supporting documentation improvement efforts, and tracking/reporting data to measure project success...Full timeWork experience placementRemote workDay shift
$86k
...Official Guidelines for Coding and Reporting Performs audits of medical records to ensure that provider documentation is accurate and... ...and establish a unified approach for clinical documentation review, audit and education Collaborates with Clinical Applications...Full timeShift work$33.26 - $49.88 per hour
At North Memorial Health, you’re part of an inclusive health team that is rooted in our values: Advocate Courageously, Rally Together, Respect Uniqueness and Create Impact. Empathy and care are at the heart of North’s culture which is designed to actively support each ...Full timeContract workPart timeFor contractorsFor subcontractorWork at officeRemote workShift work- Abbott Laboratories seeks a Clinical Specialist, Vessel Closure in Chicago North for field-based support of Abbott Vascular. You will plan and support cases, educate hospital staff, and promote Vessel Closure products to physicians and teams. The role involves travel and...
- ...training practices and ensure staff are trained and compliant with departmental policies. You will serve as a subject matter expert in medical terminology, anatomy/physiology, reimbursement, and coded data interpretation for revenue cycle compliance, guiding orientation and...
- ...front desk. Provide patient support and respond to requests for information in a courteous and timely manner. Performs related work as required. Qualifications and Education: High School Graduate and preferably a minimum of two years in a medical practice environment....Work at office
- ...St. Elizabeth HealthCare in Kentucky is seeking a qualified nursing professional to conduct reviews of physician documentation to enhance clinical documentation practices. The role requires a compassionate approach with all patients, families, and staff, ensuring dignity...
- ...Shift: Day Shift Hours per week: 40 Contract length (if applicable): Direct Hire Key Duties: Perform clinical documentation reviews and audits to ensure accurate and complete provider documentation and ICD-10 code capture Collaborate with providers and coding...Contract workShift workDay shift
- Non-Clinical - Admin Shift: 07:00 AM - 07:00 PM Shifts Per Week: 3 Scheduled Hours: 36 Start Date: 08/24/2026 End Date: 10/31/2026 Duration: 10 Week(s) Location: 760 Broadway, Brooklyn, NY, 11206 PSNYCShift work
- ...Transcribe medical reports, summaries, office visit notes and other medical documents from recorded messages from health care providers... ...of transcribed documents to physicians or other providers for review and signature, making corrections or changes as noted Familiarity...Work at office
$72.8k - $130k
...providing CDI program oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients' patients. The goal of the CDS oversight and practice is to assess the...Minimum wageFull timeWork experience placementLocal area- ...meetings. This position will be matrix managed between the Medical Director and the Deputy Director for the IMAT project. The Clinical... ...team. Broadly, the Clinical Abstractor will be responsible for reviewing medical abstraction forms available in Office of Chief Medical...Contract workTemporary workPart timeLive inWork at officeRemote work
$85k - $135k
...to help change and streamline the world of Cash Management as most know it today. What will you do? Provide timely reviews and guidance of client drafted legal documentation for use with Cash Management services. Provide clear written guidance when reviewing...Full timeContract workFlexible hours- ...Clinical Abstractor, New York City Maternal Mortality Review Committee The Fund for Public Health in New York City (FPHNYC) is a... ...death certificates, birth certificates, fetal death certificates, medical and hospitalization records, autopsies and social service...Contract workTemporary workPart timeLive inWork at officeRemote work
- ...depositions, and other pertinent legal actions. Processes and reviews legal documents and records such as hold orders, indictments, writs... ...origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic...Full timeWork experience placementSecond jobLocal area
- ...external stakeholders. The ideal candidate will possess strong analytical, organizational, and communication skills, with an ability to review sensitive records, monitor workflow systems, and ensure compliance with departmental policies and procedures. The selected...
- Highland County Sheriff's Office is hiring to handle sheriff sales, manage court paperwork, and process background checks. The role involves handling records requests and contributing to efficient office operations. We are an Equal Opportunity Employer and invite qualified...Work at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Reviewer. Be the first to apply!
- medical reviewer Brooklyn, NY
- remote clinical documentation specialist Brooklyn, NY
- medical records administrator Brooklyn, NY
- health records assistant Brooklyn, NY
- clinical documentation specialist Brooklyn, NY
- medical records clerk part time Brooklyn, NY
- clinical medical assistant Brooklyn, NY
- medical records reviewer remote Brooklyn, NY
- medical record assistant Brooklyn, NY
- medical records reviewer Brooklyn, NY

