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Peraton

Medicare Medical Review Analyst - Fraud and Compliance

herndon, VA

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Job description

Peraton SafeGuard Services seeks a Medical Reviewer to support Medicare fraud detection and payment determinations. The role focuses on reviewing medical records and applying clinical judgment to decisions on coverage and medical necessity.

The position involves research on claims data, reviewing data-model outputs, and using diverse tools to uncover issues and support investigations. Telework is available within the contiguous United States.

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