Remote RN Clinical Claim Auditor Health Compliance

Job description

Optum Insight is seeking a Clinical Claim Review RN for full-time remote work in Massachusetts. The role conducts compliance reviews of medical/administrative records to detect fraud or waste, visiting provider sites as needed and documenting findings in our audit workflow tools.

You will collaborate with a small audit team, present observations to clients, and support appeals and investigations where applicable. The position requires MA RN/LPN licensure and travel up to 25%.

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Who can apply

Review the original listing for work authorization, qualifications and employer requirements.