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 Standard Operating Procedures .

Posted 11/4/2026full-timeRemote • MexicoJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in interpreting drug-testing results in compliance with DOT and federal regulations, while providing quality assurance and feedback to stakeholders. Proficient in medical review processes, including downgrading tests and providing expert witness testimony.

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

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Interpreting Drug Test ResultsQuality Assurance ReviewAuditing Custody And Control FormsEvaluating Medical ExplanationsDowngrading And Cancelling Tests

Soft Skills

Communication SkillsCollaboration SkillsProblem-Solving Skills

Certifications & Qualifications

Current License To Practice MedicineABAM Certification In Addiction MedicineCompletion Of The ASAM Review Course In Addiction Medicine

Industry Keywords

Drug TestingMRO PracticesFederal RegulationsLaboratory PracticesCollection Processes

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 Standard Operating Procedures
Review documentation for errors and interview donors with non-negative results by phone
Determine whether legitimate medical explanations account for non-negative laboratory reports
Downgrade or cancel drug tests when appropriate
Provide quality-assurance review of the testing process
Give feedback to laboratories, collection sites, clients, and tested persons regarding performance problems and problem cases
Audit DOT negative Custody and Control Forms quarterly
Consult with and provide information to federal agency representatives
Provide expert witness testimony as required
Review and sign off on MRO administrative documents, including memorandums to correct errors, prescription faxes, 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
Keep current with Federal, DOT, and state laws, regulations, MRO manual updates, technology enhancements, and MRO practices
Take calls during scheduled hours, currently 8am to 7pm CST, for 20 required hours per week; additional work up to 30 hours per week is available

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 MRO’s 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 schedule of 20 hours per week, with ability to work up to 30 hours per week