Nurse Reviewer - Medicaid
Reston, VA · On-site
$66K - $106K/yr
Nurse Reviewer - Medicaid Job Locations US Requisition ID 2026-169510 Position Category Business ... Overnight travel may be required. * Telework available from contiguous United States.
Nurse Reviewer - Medicaid
Reston, VA · On-site
$66K - $106K/yr
Nurse Reviewer - Medicaid Job Locations US Requisition ID 2026-169510 Position Category Business ... Overnight travel may be required. * Telework available from contiguous United States.
Nurse Reviewer - Medicaid
$66K - $106K/yr
Overnight travel may be required. * Telework available from contiguous United States ... as a Registered Nurse or other clinician, and/or experience in review of medical claims for ...
Nurse Reviewer - Medicaid
$66K - $106K/yr
Overnight travel may be required. * Telework available from contiguous United States ... as a Registered Nurse or other clinician, and/or experience in review of medical claims for ...
Nurse Reviewer - Medicaid
$66K - $106K/yr
Overnight travel may be required. * Telework available from contiguous United States ... as a Registered Nurse or other clinician, and/or experience in review of medical claims for ...
Nurse Reviewer - Medicaid
$66K - $106K/yr
Overnight travel may be required. * Telework available from contiguous United States ... as a Registered Nurse or other clinician, and/or experience in review of medical claims for ...
Nurse Reviewer - Medicaid
Herndon, VA · On-site
$66K - $106K/yr
Nurse Reviewer - Medicaid Job Locations US Requisition ID 2026-169096 Position Category Business ... Overnight travel may be required. * Telework available from contiguous United States.
Nurse Reviewer - Medicaid
Herndon, VA · On-site
$66K - $106K/yr
Nurse Reviewer - Medicaid Job Locations US Requisition ID 2026-169096 Position Category Business ... Overnight travel may be required. * Telework available from contiguous United States.
VA · On-site
The Nurse Reviewer performs complex medical record reviews of Medicare Part A/B and DMEPOS claims ... Insurance industry experience Key Responsibilities * Perform complex medical record reviews ...
Prior work experience in commercial disability insurance: disability insurance carrier or TPA (i.e., UNUM, Sedgwick, Mutual of Omaha) * Diverse Clinical Background PLEASE BE AWARE: In the interest of ...
Prior work experience in commercial disability insurance: disability insurance carrier or TPA (i.e., UNUM, Sedgwick, Mutual of Omaha) * Diverse Clinical Background PLEASE BE AWARE: In the interest of ...
Clinical Nurse Reviewer
$59K - $75K/yr
Nurse Reviewer The Nurse Reviewer is primarily responsible for conducting post-service, pre or post ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
$59K - $75K/yr
Nurse Reviewer The Nurse Reviewer is primarily responsible for conducting post-service, pre or post ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
$48 - $83/hr
Prior work experience in commercial disability insurance: disability insurance carrier or TPA (i.e., UNUM, Sedgwick, Mutual of Omaha) * Diverse Clinical Background PLEASE BE AWARE: In the interest of ...
New
$48 - $83/hr
Prior work experience in commercial disability insurance: disability insurance carrier or TPA (i.e., UNUM, Sedgwick, Mutual of Omaha) * Diverse Clinical Background PLEASE BE AWARE: In the interest of ...
New
Clinical Nurse Reviewer
Saint Louis, MO · On-site
$59K - $75K/yr
Nurse Reviewer The Nurse Reviewer is primarily responsible for conducting post-service, pre or post ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Saint Louis, MO · On-site
$59K - $75K/yr
Nurse Reviewer The Nurse Reviewer is primarily responsible for conducting post-service, pre or post ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Saint Petersburg, FL · On-site
$59 - $75.05/hr
The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
New
Clinical Nurse Reviewer
Saint Petersburg, FL · On-site
$59 - $75.05/hr
The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
New
Clinical Nurse Reviewer
Morristown, NJ · On-site
Position Overview The Nurse Reviewer is primarily responsible for conducting post-service, pre or ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Morristown, NJ · On-site
Position Overview The Nurse Reviewer is primarily responsible for conducting post-service, pre or ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Bilingual Nurse Reviewer - Medicaid
$66K - $106K/yr
Overnight travel may be required. * Telework available from contiguous United States ... as a Registered Nurse or other clinician, and/or experience in review of medical claims for ...
Bilingual Nurse Reviewer - Medicaid
$66K - $106K/yr
Overnight travel may be required. * Telework available from contiguous United States ... as a Registered Nurse or other clinician, and/or experience in review of medical claims for ...
Clinical Nurse Reviewer
Saint Louis, MO · On-site
Position Overview The Nurse Reviewer is primarily responsible for conducting post-service, pre or ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Saint Louis, MO · On-site
Position Overview The Nurse Reviewer is primarily responsible for conducting post-service, pre or ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Bilingual Nurse Reviewer - Medicaid
$66K - $106K/yr
Overnight travel may be required. * Telework available from contiguous United States ... as a Registered Nurse or other clinician, and/or experience in review of medical claims for ...
Bilingual Nurse Reviewer - Medicaid
$66K - $106K/yr
Overnight travel may be required. * Telework available from contiguous United States ... as a Registered Nurse or other clinician, and/or experience in review of medical claims for ...
Position Overview The Nurse Reviewer is primarily responsible for conducting post-service, pre or ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Position Overview The Nurse Reviewer is primarily responsible for conducting post-service, pre or ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Plano, TX · On-site
Position Overview The Nurse Reviewer is primarily responsible for conducting post-service, pre or ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Plano, TX · On-site
Position Overview The Nurse Reviewer is primarily responsible for conducting post-service, pre or ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Greenlife Healthcare Staffing is seeking an experienced Maternal Nurse Reviewer to conduct clinical ... Health Insurance ~ PTO & Paid Sick Time ~ 401(k) with 3% matching (after 1 year) ~ License ...
Greenlife Healthcare Staffing is seeking an experienced Maternal Nurse Reviewer to conduct clinical ... Health Insurance ~ PTO & Paid Sick Time ~ 401(k) with 3% matching (after 1 year) ~ License ...
Clinical Nurse Reviewer
Atlanta, GA · On-site
Position Overview The Nurse Reviewer is primarily responsible for conducting post-service, pre or ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Atlanta, GA · On-site
Position Overview The Nurse Reviewer is primarily responsible for conducting post-service, pre or ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Boston, MA · On-site
Position Overview The Nurse Reviewer is primarily responsible for conducting post-service, pre or ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Boston, MA · On-site
Position Overview The Nurse Reviewer is primarily responsible for conducting post-service, pre or ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Assists on inquiries from external parties such as the State Insurance Commissioner and from the ... The Nurse Reviewer must follow each line of business' requirements and each accrediting body's (CMS ...
Assists on inquiries from external parties such as the State Insurance Commissioner and from the ... The Nurse Reviewer must follow each line of business' requirements and each accrediting body's (CMS ...
Overnight Insurance Nurse Reviewer information
See salary details
$6.49 - $10.69
4% of jobs
$10.69 - $14.88
18% of jobs
$15.93 is the 25th percentile. Wages below this are outliers.
$14.88 - $19.08
11% of jobs
$19.08 - $23.27
2% of jobs
$23.27 - $27.47
12% of jobs
The median wage is $29.27 / hr.
$27.47 - $31.67
7% of jobs
$31.67 - $35.86
14% of jobs
$38.89 is the 75th percentile. Wages above this are outliers.
$35.86 - $40.06
10% of jobs
$40.06 - $44.25
7% of jobs
$44.25 - $48.45
9% of jobs
$48.45 - $52.64
6% of jobs
$6
$30
$52
How much do overnight insurance nurse reviewer jobs pay per hour?
As of Sep 2, 2026, the average hourly pay for overnight insurance nurse reviewer in the United States is $30.01, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $40.87 per hour, depending on experience, location, and employer.
What is the difference between Overnight Insurance Nurse Reviewer vs Insurance Claims Nurse?
| Aspect | Overnight Insurance Nurse Reviewer | Insurance Claims Nurse |
|---|---|---|
| Credentials | RN license, insurance review certifications | RN license, insurance claims processing certifications |
| Work Environment | Remote, reviewing insurance claims overnight | Office or remote, handling claims during regular hours |
| Employer & Industry | Insurance companies, third-party administrators | Insurance companies, healthcare providers |
| Search & Comparison Intent | Roles involving overnight review of insurance claims | Roles focused on processing insurance claims during business hours |
The main difference is that Overnight Insurance Nurse Reviewers primarily work overnight reviewing insurance claims remotely, focusing on detailed assessments. Insurance Claims Nurses typically handle claims during regular hours, often involving more direct communication with clients and providers. Both roles require nursing credentials and insurance knowledge but differ mainly in work hours and specific job functions.
How to become an overnight insurance nurse reviewer?
To become an overnight insurance nurse reviewer, you typically need a valid registered nurse (RN) license and experience in clinical or insurance review settings. Strong assessment, documentation, and communication skills are essential, and familiarity with medical coding and insurance policies can be beneficial. Some positions may require certification in case management or utilization review.
What cities are hiring for Overnight Insurance Nurse Reviewer jobs?
Cities with the most Overnight Insurance Nurse Reviewer job openings:
What are the most commonly searched types of Insurance Nurse Reviewer jobs?
The most popular types of Insurance Nurse Reviewer jobs are:
What states have the most Overnight Insurance Nurse Reviewer jobs?
States with the most job openings for Overnight Insurance Nurse Reviewer jobs include:
$66K - $106K/yr
Other
This job post has expired today. Applications are no longer accepted.
Peraton rating
8.3
Based on 56 frontline employees who took The Breakroom Quiz
51st of 226 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.
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