SafeGuard Services (SGS), a Peraton subsidiary, seeks a Medical Reviewer to conduct medical record reviews and apply clinical judgment to claim payments. You will research claims data and other sources to identify issues, support fraud investigations, and develop cases for potential administrative action.
The role involves using multiple tools to detect fraud, working with external agencies, and possibly testifying about findings. Telework is available within the contiguous United States.
#J-18808-LjbffrRemote Medical Reviewer: Claims & Fraud Analysis in Remote at Unknown Company
This position is listed as full time and onsite.