Peraton's SafeGuard Services (SGS) seeks a Medical Reviewer to conduct medical record reviews and apply clinical judgment for claim payment decisions. You will research claims data, review data outputs, and use tools to identify fraud indicators for ongoing investigations and information requests.
The role requires clinical experience, strong communication, and the ability to work independently or in a team, with potential court appearance and telework from the contiguous United States.
#J-18808-LjbffrRemote Medical Claims Fraud Analyst in workfromhome at Unknown Company
This position is listed as full time and onsite.