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Educational 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 2026-169510 Position Category Business ... education, over payment recovery. Will work with external agencies to develop cases and corrective ...

Peraton

Nurse Reviewer - Medicaid

Herndon, VA · On-site

$66K - $106K/yr

Nurse Reviewer - Medicaid Job Locations US Requisition ID 2026-169510 Position Category Business ... education, over payment recovery. Will work with external agencies to develop cases and corrective ...

Acentra Health

Clinical Reviewer-RN

Mclean, VA · On-site

The purpose of this position is to review medical records against appropriate criteria in ... education- and experience-related duties that management may deem necessary from time to time.

Constellis

Case Reviewer

VA · On-site

... education, and contract requirements. RESPONSIBILITIES * Provide advice and guidance to ... Review case work and provide feedback regarding quality and completeness * Contact Field ...

Constellis

Case Reviewer

VA · On-site +1

... education, and contract requirements. RESPONSIBILITIES * Provide advice and guidance to ... Review case work and provide feedback regarding quality and completeness * Contact Field ...

Constellis

Case Reviewer - DHS

VA · On-site +1

... education, and contract requirements. RESPONSIBILITIES * Provide advice and guidance to ... Review case work and provide feedback regarding quality and completeness * Contact Field ...

Constellis

Case Reviewer - DHS

VA · On-site

... education, and contract requirements. RESPONSIBILITIES * Provide advice and guidance to ... Review case work and provide feedback regarding quality and completeness * Contact Field ...

Commence

IDR Coder Reviewer

Virginia Beach, VA · On-site

$45 - $70/hr

The Coder Reviewer position is responsible for supporting and conducting reviews and determinations ... Essential Education: Bachelor's degree in a related discipline or specialized licensure ...

Commence

HSCRC Coding Reviewer

Virginia Beach, VA · On-site

$40 - $45/hr

The HSCRC Coding Reviewer will be a subject matter expert in clinical documentation review ... Essential Education * Bachelor's degree in a related discipline or specialized licensure ...

Elevance Health

Psychologist Reviewer - ABA

Norfolk, VA · On-site

$93K - $160K/yr

Psychologist Reviewer - ABA Anticipated end date: 9/15/2026 Work location - Virtual This role ... education and experience, which would provide an equivalent background. * Most possess an active ...

Elevance Health

Psychologist Reviewer - ABA

Norfolk, VA · On-site

$93K - $160K/yr

The Psychologist Reviewer - ABA is responsible for collaborating with providers, BCBAs and Medical ... education and experience, which would provide an equivalent background. * Most possess an active ...

ECPI University

Director of Education

Virginia Beach, VA · On-site

$75K - $90K/yr

Coordinate the planning, development, coordination, review, and administration of all educational programs. * In conjunction with Campus Vice President, Director of Training Operations, and Academic ...

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Educational Reviewer information

What is an educational reviewer?

Educational reviewers are professionals who evaluate educational materials, such as textbooks, curricula, online courses, and assessments, to ensure their quality, accuracy, and effectiveness. They may assess content for alignment with educational standards, appropriateness for the target audience, and clarity of presentation. Educational reviewers often provide feedback and recommendations to publishers, educators, or organizations to help improve learning resources. Their role is important for maintaining high standards in education and supporting effective teaching and learning.

What are the key skills and qualifications needed to thrive as an educational reviewer, and why are they important?

To excel as an Educational Reviewer, you need a strong background in educational theory, curriculum design, and subject matter expertise, often supported by an education degree or teaching certification. Familiarity with learning management systems (LMS), assessment tools, and educational standards is typically required. Outstanding attention to detail, analytical thinking, and effective communication help reviewers provide constructive feedback and ensure content quality. These skills are crucial for maintaining high educational standards and fostering effective learning outcomes.

What are some common challenges educational reviewers face when evaluating instructional materials, and how can they overcome them?

Educational Reviewers often encounter challenges such as ensuring materials align with current curriculum standards, maintaining objectivity, and addressing diverse learner needs. To overcome these obstacles, reviewers typically stay informed about the latest educational trends, use established rubrics for consistency, and collaborate with subject matter experts. Regular communication with curriculum developers and participation in professional development also help reviewers provide thorough and balanced feedback.

What is the difference between Educational Reviewer vs Educational Content Developer?

AspectEducational Reviewer
Primary RoleEvaluate and ensure the accuracy, quality, and appropriateness of educational materials.
Required CredentialsTypically requires a degree in education or related field, with experience in curriculum or content review.
Work EnvironmentMostly office-based, reviewing textbooks, online courses, or instructional materials.
Employer & Industry UsageUsed by publishers, educational institutions, and content providers to maintain quality standards.

Educational Reviewers focus on assessing existing educational materials for accuracy and quality, while Educational Content Developers create new educational content. Both roles require educational credentials, but their responsibilities differ significantly in the content lifecycle.

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

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

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

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

What cities in Virginia are hiring for Educational Reviewer jobs?

Cities in Virginia with the most Educational Reviewer job openings:

Educational Reviewer jobs near you

Nurse Reviewer - Medicaid

Peraton

Reston, VA • On-site

$66K - $106K/yr

Other

Posted 18 days ago

Peraton rating

8.3

Company rating: 8.3 out of 10

Based on 56 frontline employees who took The Breakroom Quiz

51st of 224 rated it services

Job description


Nurse Reviewer - Medicaid
Job Locations
US
Requisition ID
2026-169510
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.

What Peraton employees say

Pay

Benefits

Hours and flexibility

Workplace

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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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