Medical Review Officer

First Advantage

. Interpret and report drug testing results for Department of Transportation (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 regulations and MRO procedures, while ensuring quality assurance and providing expert testimony as needed. Proficient in collaborating with stakeholders and staying updated on relevant laws and practices.

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 Medical Training In Drug Test Evaluation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Interpreting Drug Testing ResultsQuality Assurance ReviewAuditing Custody And Control FormsDowngrading And Cancellation ProcessesKnowledge Of Laboratory PracticesEvaluating Medical ExplanationsConsulting With Federal Agency RepresentativesProviding Feedback On Performance Problems

Soft Skills

Communication SkillsProblem-Solving SkillsCollaboration Skills

Certifications & Qualifications

Current License To Practice Medicine In Mexico, The United States Or Canada

Industry Keywords

Department Of Transportation (DOT)MRO ProceduresAdulterated SpecimensSubstituted SpecimensInvalid Specimens

About the role

Key responsibilities & impact

Interpret and report drug testing results for Department of Transportation (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 by phone 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, and tested persons regarding performance problems and problem cases
Audit DOT negative Custody and Control Forms quarterly
Consult with federal agency representatives and provide information on reviewed cases
Provide expert witness testimony as required
Review and sign off on administrative documents requiring MRO review
Collaborate with the Chief MRO and MRO support personnel to safeguard medical review accuracy and integrity
Suggest process improvements, discuss proposed product functionality and enhancements, and provide feedback on procedure updates
Stay current on Federal and DOT laws, regulations, state laws, MRO manual updates, technology enhancements, and MRO practices
Take calls during scheduled hours, currently 8am to 7pm CST, for 20 required hours per week and up to 30 hours per week

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

Benefits

Comp & perks

Full-time employment
Required scheduled calls for 20 hours per week, with the ability to work up to 30 hours per week