×
Apply for Jobs Apply for Jobs Post a Job Post a Job Local Jobs Home
Register Here to Apply for Jobs or Post Jobs. X
More jobs:
Healthcare Management Healthcare Administration

Senior Nurse Investigator: Healthcare Fraud & Claims Expert

Job in Baltimore, Anne Arundel County, Maryland, 21276, USA
Listing for: CareFirst, Inc.
Full Time position
Listed on 2026-01-14
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 67464 - 133991 USD Yearly USD 67464.00 133991.00 YEAR
Job Description & How to Apply Below
A healthcare organization in Baltimore seeks a Clinical Reviewer to support the prevention of losses through clinical review of medical records and claims. Responsibilities include investigating potential fraud, collaborating with teams for action plans, and acting as a liaison with various stakeholders. Candidates should possess a Bachelor's Degree or equivalent experience in nursing, along with relevant licensure and certifications.

This role offers a salary range of $67,464 - $133,991 based on experience and qualifications.
#J-18808-Ljbffr
Position Requirements
10+ Years work experience
To View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
 
 
 
Search for further Jobs Here:
(Try combinations for better Results! Or enter less keywords for broader Results)
Location
Increase/decrease your Search Radius (miles)

Job Posting Language
Employment Category
Education (minimum level)
Filters
Education Level
Experience Level (years)
Posted in last:
Salary
Advanced Search