Nurse Medical Reviewer - Remote Fraud & Claims Analyst

Peraton is seeking a Medical Reviewer to join the SafeGuard Services team. The role involves conducting medical record reviews, applying clinical judgment to payment decisions, and researching Medicaid regulations to identify issues and potential fraud. Telework is available from the contiguous United States. The ideal candidate will have a clinical background, active nursing or therapy license, strong investigative and communication skills, and the ability to work independently or as part of a #J-18808-Ljbffr