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Job description
SafeGuard Services (SGS), a Peraton subsidiary, seeks a Nurse Reviewer Team Lead to guide medical reviews and fraud investigations within the SGS team. You will oversee workload, mentor staff, and coordinate with investigations to develop cases for referral to law enforcement or other entities.
You will analyze medical claims data, present findings, and ensure compliance with Federal, State, and MCO regulations while maintaining confidentiality and timely reporting.
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Worksite address
chantilly, VA, 22021, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.