Medical Review Officer

First Advantage

. Interpret and report drug-testing results for DOT, federal, and non-DOT clients in accordance with applicable statutes, regulations, and First Advantage MRO procedures .

Posted 11/3/2026full-timeRemote • MexicoJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in interpreting drug-testing results in compliance with DOT and federal regulations, while providing quality assurance and expert witness testimony. Proficient in medical review processes, including documentation review and collaboration with MRO support personnel.

Highest-signal resume keywords

Doctor Of Medicine (MD) Or Osteopathy (DO)Current Medical Review Officer (AAMRO) CertificationBilingual Fluency In English And SpanishKnowledge Of Department Of Transportation (DOT) Guidelines1 To 3 Years Of Experience Working As An MRO

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Interpreting Drug-Test ResultsQuality Assurance ReviewDocumentation ReviewAuditing Custody And Control FormsProviding Expert Witness TestimonyKnowledge Of Adulterated SpecimensKnowledge Of Downgrading ProcessesKnowledge Of Collection ProcessesKnowledge Of Laboratory PracticesKnowledge Of Alternate Medical Explanations

Certifications & Qualifications

Current License To Practice Medicine In Mexico, The United States Or CanadaABAM Certification In Addiction MedicineCompletion Of The ASAM Review Course In Addiction Medicine

Industry Keywords

Drug TestingMRO ProceduresFederal RegulationsDOT RegulationsMedical Review OfficerExpert Witness TestimonyProcess ImprovementsMedical ExplanationsTesting Process IntegrityPerformance Issues

About the role

Key responsibilities & impact

Interpret and report drug-testing results for DOT, federal, and non-DOT clients in accordance with applicable statutes, regulations, and First Advantage MRO procedures
Review documentation for errors and interview donors with non-negative results to determine legitimate medical explanations
Downgrade or cancel drug tests when appropriate
Provide quality assurance review of the testing process
Provide feedback to laboratory, collection-site, clients, tested persons, and federal agency representatives regarding reviewed cases and performance issues
Audit DOT negative Custody and Control Forms quarterly
Provide expert witness testimony as required
Review and sign off on administrative documents, prescription faxes, memorandums, and medical records
Collaborate with the Chief MRO and MRO support personnel to safeguard process accuracy and integrity
Suggest process improvements, discuss proposed product functionality and enhancements, and provide feedback on procedure updates
Stay current on applicable Federal, DOT, and state laws, regulations, MRO manual updates, technology enhancements, and MRO practices
Take calls during scheduled hours, currently 8 a.m. to 7 p.m. CST, for at least 20 hours weekly and up to 30 hours weekly

Requirements

What you’ll need

Candidates must reside in Mexico and be authorized to work in Mexico
Doctor of Medicine (MD) or Osteopathy (DO)
Current Medical Review Officer (AAMRO) certification
Current license to practice medicine in Mexican, the United States or Canada Provence
1 to 3 years of medical training and/or practice in interpreting and evaluating drug test results
Bilingual fluency with English and Spanish (both written and verbal)
Knowledge of issues relating to adulterated, substituted, and invalid specimens
Knowledge of downgrading and cancellation of test processes
Knowledge of Department of Transportation (DOT) guidelines for MROs and applicable DOT agency regulations
Knowledge of collection processes, and laboratory practices and protocols
Knowledge of alternate medical explanations for positive drug test results
Preferred: ABAM Certification in Addiction Medicine
Preferred: Completion of the ASAM Review Course in Addiction Medicine
Preferred: 1 to 3 years of experience working as an MRO
Preferred: documented experience in providing expert witness testimony

Benefits

Comp & perks

Full-time employment
Required minimum of 20 hours per week, with opportunity to work up to 30 hours per week