Background: Ableism obstructs employment equity for disabled individuals. However, despite protective legislation, research lacks a comprehensive understanding of how ableism multidimensionally manifests across job types, disability types, stages of employment, and intersecting identities. Objectives: This scoping review examined how ableism affects disabled workers and jobseekers, as well as its impacts on employment outcomes, variations across disabilities and identities, and best practices for addressing these. Eligibility Criteria: Included articles were 109 peer-reviewed, empirical studies conducted in the US, Canada, Australia, New Zealand, the UK, Ireland, Denmark, Sweden, Norway, and Finland between 2018 and 2023. Sources of Evidence: Using terms related to disability, ableism, and employment, databases searched included Sociology Collection, CINAHL, PsycInfo, Web of Science, SCOPUS, Education Source, Academic Search Complete, and ERIC. Charting Methods: Data were extracted in tabular form and analyzed through thematic narrative synthesis to identify study characteristics, ableist barriers within employment, intersectional factors, and best practices. Results: Ableism negatively impacted employment outcomes through barriers within the work environment, challenges disclosing disability, insufficient accommodations, and workplace discrimination. Intersectional factors intensified inequities, particularly for BIPOC, women, and those with invisible disabilities. Conclusions: Systemic, intersectional strategies are needed to address ableism, improve policies, and foster inclusive workplace practices.