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Remote Nurse Claims Fraud Review Specialist

Remote / Online - Candidates ideally in
Bend, Deschutes County, Oregon, 97701, USA
Listing for: Peraton
Remote/Work from Home position Listed on 2026-11-09
Job specializations:
  • Nursing
Salary/Wage Range or Industry Benchmark: 51000 - 82000 USD Yearly USD 51000.00 82000.00 YEAR

Job Description & How to Apply Below

Peraton is seeking a Nurse Reviewer for Safe Guard Services (SGS) to perform medical record reviews and apply clinical judgment to claim payment decisions. Telework is available from anywhere in the United States, with responsibilities including research on claims data and development of cases for potential fraud investigations.

The role requires a nursing background, current license, 5 years of BS/BA experience in the medical field, and ability to navigate Federal, State, and MCO regulations.

This role, Remote Nurse Claims Fraud Review Specialist at Peraton, could be your next career step.

The Remote Nurse Claims Fraud Review Specialist role at Peraton is now open for applications in OR, United States.

Join us at Peraton as our next Remote Nurse Claims Fraud Review Specialist in OR, United States.

We are currently recruiting a Remote Nurse Claims Fraud Review Specialist for our team in OR, United States.

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