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Disability Reviewer Jobs in Virginia (NOW HIRING)

Peraton

Nurse Reviewer - Medicaid

Reston, VA · On-site

$66K - $106K/yr

Nurse Reviewer - Medicaid Job Locations US Requisition ID 2026-169096 Position Category Business ... EEO EEO: Equal opportunity employer, including disability and protected veterans, or other ...

Peraton

Nurse Reviewer - Medicaid

Herndon, VA · On-site

$66K - $106K/yr

Nurse Reviewer - Medicaid Job Locations US Requisition ID 2026-169096 Position Category Business ... EEO EEO: Equal opportunity employer, including disability and protected veterans, or other ...

Acentra Health

Clinical Reviewer-SCA

Mclean, VA · On-site

Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer to join our ... Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will ...

Acentra Health

Clinical Reviewer-RN

Mclean, VA · On-site

The purpose of this position is to review medical records against appropriate criteria in ... Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will ...

Trustpoint.One

Claims Reviewer

Richmond, VA · On-site

$23/hr

Trustpoint.One is hiring Claims Reviewers for a temporary project ln Richmond, Virginia. This ... disability status, genetics, protected veteran status, sexual orientation, gender identity or ...

Parsons

Disability Support Worker - Junior

Springfield, VA · On-site

$26.59 - $46.54/hr

... for review. What Required Skills You'll Bring: * Education/Experience: Aminimum of anAssociate ... Disability Studies, Social Work, Psychology, or a related field, orin lieu of a degree, 3years of ...

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All JobsDisability Reviewer JobsDisability Reviewer Jobs in Virginia

Disability Reviewer information

What does a disability reviewer do?

A Disability Reviewer is responsible for evaluating medical and vocational evidence to determine whether individuals meet the eligibility requirements for disability benefits, such as those offered by Social Security. They review applications, medical records, and other supporting documents, and may consult with medical professionals to make informed decisions. Their work ensures that only qualified applicants receive benefits, while helping prevent fraud and improper payments. Disability Reviewers must stay updated on laws, regulations, and guidelines related to disability programs.

What are the key skills and qualifications needed to thrive as a disability reviewer?

To thrive as a Disability Reviewer, you need a background in healthcare or social services, strong analytical abilities, and knowledge of disability regulations, often supported by a relevant degree or certification. Familiarity with case management systems, medical records software, and federal or state disability guidelines is typically required. Excellent attention to detail, objectivity, and clear written communication are vital soft skills for making accurate and fair determinations. These skills ensure that disability claims are evaluated thoroughly, fairly, and in compliance with legal and medical standards.

What are some common challenges faced by disability reviewers, and how can they be addressed?

Disability Reviewers often encounter challenges such as managing a high caseload, interpreting complex medical documentation, and ensuring compliance with regulatory guidelines. Staying organized and developing strong analytical skills are essential to efficiently process cases and make accurate determinations. Effective communication with medical professionals and applicants also helps clarify ambiguities and ensures fair, thorough evaluations. Many Disability Reviewers find that ongoing professional development and collaboration with experienced team members greatly enhance their ability to navigate these challenges.

What is the difference between Disability Reviewer vs Disability Claims Specialist?

AspectDisability ReviewerDisability Claims Specialist
Required CredentialsTypically requires a background in healthcare, social work, or related fields; certifications varyOften requires similar credentials, including healthcare or social work background; certifications may be preferred
Work EnvironmentPrimarily office-based, reviewing case files and medical documentationOffice setting, handling claims processing and customer interactions
Employer & Industry UsageUsed by government agencies, insurance companies, and third-party administratorsCommonly employed by insurance companies, government agencies, and private firms

Both roles involve evaluating disability claims, often requiring similar educational backgrounds and working in office environments. While Disability Reviewers focus on assessing medical documentation and making determinations, Disability Claims Specialists handle the entire claims process, including customer communication and documentation management. Understanding these differences can help job seekers identify the right career path within the disability assessment industry.

How to become a disability reviewer?

To become a disability reviewer, candidates typically need a background in healthcare, social work, or related fields, along with knowledge of disability policies and medical terminology. Relevant experience, such as working in healthcare or social services, and strong analytical skills are important. Some positions may require certification or training specific to disability assessment processes.

What qualifications do you need to work as a disability reviewer?

Disability reviewers typically need a bachelor's degree in healthcare, social work, or a related field, along with experience in medical or social assessments. Knowledge of disability policies and strong communication skills are also important, and some positions may require certification or training in disability evaluation procedures.

What are popular job titles related to Disability Reviewer jobs in Virginia?

For Disability Reviewer jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Disability Reviewer jobs in Virginia look for?

The top searched job categories for Disability Reviewer jobs in Virginia are:

What cities in Virginia are hiring for Disability Reviewer jobs?

Cities in Virginia with the most Disability Reviewer job openings:

Disability Reviewer jobs near you
Infographic showing various Disability Reviewer job openings in Virginia as of August 2026, with employment types broken down into 83% Full Time, 14% Part Time, and 3% Temporary. Highlights an 97% In-person, and 3% Remote job distribution.

Nurse Reviewer - Medicaid

Peraton

Reston, VA • On-site

$66K - $106K/yr

Other

Posted 19 days ago

Peraton rating

8.3

Company rating: 8.3 out of 10

Based on 56 frontline employees who took The Breakroom Quiz

52nd of 225 rated it services

Job description


Nurse Reviewer - Medicaid
Job Locations
US
Requisition ID
2026-169096
Position Category
Business Controls
Clearance
No Clearance Required
Responsibilities

SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

We are looking to add a Medical Reviewer to our SGS team of talented professionals.

What you'll do:

The Medical Reviewer requires the individual to conduct medical record reviews and to apply sound clinical judgment to claim payment decisions.

Responsibilities may include additional research on medical claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools to detect situations of potential fraud and to support the ongoing fraud investigations and requests for information. The incumbent will use a variety of tools to identify and develop cases for future administrative action, including referral to law enforcement, education, over payment recovery. Will work with external agencies to develop cases and corrective actions as well as respond to requests for data and support.

Roles and Responsibilities:

    Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government
  • Research regulations and cite violations.
  • Conduct self-directed research to uncover problems in Medicaid payments made to institutional and non-institutional providers.
  • Make claim payment decisions based on clinical knowledge
  • This position may require the incumbent to appear in court to testify about work findings.
  • Ability to compose correspondence, reports, and referral summary letters.
  • Ability to communicate effectively, internally and externally.
  • Ability to handle confidential material.
  • Ability to report work activity on a timely basis.
  • Ability to work independently and as a member of a team to deliver high quality work.
  • Ability to attend meetings, trainings, and conferences as needed. Overnight travel may be required.
  • Telework available from contiguous United States.

Qualifications

Basic Qualifications:

  • Bachelors and 5 years of experience, Masters degree and 3 years of experience, Associates and 7 years of experience
  • At least 3 years of experience in the medical field as a Registered Nurse or other clinician, and/or experience in review of medical claims for coverage and medical necessity.
  • Current/Active Nursing or Physical Therapy license in state of residence.
  • Strong investigative skills
  • Strong communication and organization skills
  • Strong PC knowledge and skills
  • U.S. citizenship required

Desirable Qualifications:

  • Experience in reviewing claims for technical requirements, performing medical review, and/or developing fraud cases
  • Knowledge of Medicaid requirements, laws, rules and regulations related to payment for services billed
  • Have a CPC (Certified Professional Coder) certificate.

Peraton Overview

Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees do the can't be done by solving the most daunting challenges facing our customers. Visit peraton.com to learn how we're keeping people around the world safe and secure.

Target Salary Range
$66,000 - $106,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual's experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.
EEO
EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.

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About Peraton

Sourced by ZipRecruiter

At Peraton, we re at the forefront of delivering the next big thing every day. We re the partner of choice to help solve some of the world s most daunting challenges, delivering bold, new solutions to keep people around the world safer and more secure.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Herndon, VA, US

Year founded

2017

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