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Remote Medical Reviewer III - Claims & Compliance
Remote / Online - Candidates ideally in
Fall River, Bristol County, Massachusetts, 02720, USA
Listed on 2026-07-13
Fall River, Bristol County, Massachusetts, 02720, USA
Listing for:
CGS Administrators LLC
Full Time, Remote/Work from Home
position Listed on 2026-07-13
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
CGS Administrators LLC is seeking a qualified reviewer to analyze medical claims, determine medical necessity, and support senior management with accurate data and reports. This full-time, remote role follows standard CST business hours and requires RN licensure, an associate degree, and clinical experience.
Candidates should be proficient in Microsoft Office, familiar with managed care, and capable of independent decision-making.
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