Bilingual Nurse Reviewer: Medicaid Claims & Fraud Analysis
Peraton
Peraton is seeking a Medical Reviewer for SafeGuard Services to conduct medical record reviews, apply clinical judgment to claim payment decisions, and support fraud investigations. Telework is available from the contiguous United States. Responsibilities include researching Medicaid regulations, identifying improper payments, presenting findings for potential action, and coordinating with external agencies. Must have nursing or related clinical background; U.S. #J-18808-Ljbffr Peraton
Vacancy posted 1 day ago
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