Accenture
Medical Review Manager
$98K–$197K
Baltimore, MD +2 · Manager · Full-time · Posted Oct 10, 2026
- Location
- Baltimore, MD
Washington, DC
Arlington, Virginia, United States - Experience
- 5 years of clinical experience, 5 years of medical review experience, and 3 years of management experience.
- Education
- Master’s degree in nursing or a related field, or a bachelor’s degree in nursing with required relevant experience.
- Visa sponsorship
- Applicants must have U.S. work authorization that does not now or in the future require visa sponsorship.
About the job
Manages CMS-directed medical review projects, serving as the primary CMS liaison and overseeing clinical review auditors and quality.
What you'll do
- Serve as CMS’s primary point of contact for medical review program activities.
- Collaborate with the Contractor Medical Director to manage, evaluate, and ensure quality of medical review projects.
- Oversee medical review activities, documentation, methodology, and reviewer accuracy in compliance with CMS requirements.
What they ask for
- At least 5 years of clinical experience in an acute care hospital, skilled nursing facility, or office/clinic-based medical practice.
- At least 5 years of previous medical review experience.
- At least 3 years of management experience.
- Registered Nurse licensed in a U.S. state, D.C., Puerto Rico, or U.S. territory; extensive knowledge of Medicare coverage and payment rules, medical review processes, medical terminology, Medicare claims, and clinical review judgment.
Pay
$98,100 — $197,400 USD base pay
Model-written summary · the original posting is authoritative