Nurse Reviewer - Medical Claims & Fraud Detection (Remote) Job at Peraton, Arlington, TX

  • Peraton
  • Arlington, TX

Job Description

SafeGuard Services (SGS), a subsidiary of Peraton, seeks a Nurse Reviewer to conduct medical record reviews and apply clinical judgment to payment decisions. You will research claims data, identify issues, and help develop fraud investigations. Travel for meetings and court appearances may be required.Qualified candidates hold an active nursing license, have experience in medical claims review, and demonstrate strong investigative and communication skills. US citizenship is required.J-18808-Ljbffr

Job Tags

Similar Jobs

Pacaya HR Experts

Account Executive - Smart Mobility Technology // Southern Colorado & New Mexico (Remote | 50% Travel Job at Pacaya HR Experts

 ...Technology // Southern Colorado & New Mexico (Remote | 50% Travel Within Territory)\n \n...  ...and expand existing accounts. \n Manage the full sales cycle, from prospecting and...  ...technical and commercial teams to deliver customer-focused solutions. \n Represent the company... 

NCSA College Recruiting

Campus Security Officer Job at NCSA College Recruiting

 ...Campus Security OfficerIMG Academy is the world's leading sports education brand, providing a holistic education model that empowers student...  ...innovative suite of on-campus and online experiences:Boarding school and camps, delivered on a state-of-the-art campus in Bradenton,... 

IBP Longway Trucking, LLC

Trucking Dispatcher Job at IBP Longway Trucking, LLC

 ...requirements and FMCSA Hours of Service (HOS) regulations Utilize dispatch software, GPS tracking systems, and online load boards (such as...  ...on time Qualifications Proven experience as a truck dispatcher, freight broker, or similar logistics role Strong... 

Circet USA

Telecommunications Equipment Installer IV Job at Circet USA

 ...Description Overview Circet USA is a leading provider of telecommunications and data center infrastructure services in North America,...  ...Responsibilities SUMMARY The Telecommunications Equipment Installer IV Lead is responsible for the installation and... 

Louisiana State University

Postdoctoral Researcher Job at Louisiana State University

 ...on your Candidate Home page. Job Posting Title: Postdoctoral Researcher Position Type: Other Academic Department: LSUAM Science - PA -...  ...Structure using data from the Roman Galactic Bulge Time Domain SurveyApplicants are sought for a postdoctoral researcher position at...