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Professional Reviewer Jobs in Virginia (NOW HIRING)

Peraton

Nurse Reviewer - Medicaid

Reston, VA · On-site

$66K - $106K/yr

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 ...

Peraton

Nurse Reviewer - Medicaid

Herndon, VA · On-site

$66K - $106K/yr

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 ...

2M Quality

New Home Quality Reviewer

Midlothian, VA · On-site

$65 - $90/hr

Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism (Reviews take on average 1 to 1.5 hours to ...

New

2M Quality

New Home Quality Reviewer

Midlothian, VA

$75 - $90/hr

Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to ...

New

2M Quality

New Home Quality Reviewer

Henrico, VA · On-site

$75 - $90/hr

Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to ...

2M Quality

New Home Quality Reviewer

Midlothian, VA · On-site

$75 - $90/hr

Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism. (Reviews take on average 1 to 1.5 hours to ...

New

2M Quality, LLC

Be Seen First

New Home Quality Reviewer

Virginia Beach, VA · On-site

$25 - $45/hr

Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to ...

Acentra Health

Clinical Reviewer-SCA

Mclean, VA · On-site

Fosters positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the review process

2M Quality, LLC

Be Seen First

New Home Quality Reviewer

Roanoke, VA · On-site

$25 - $45/hr

Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to ...

Acentra Health

Clinical Reviewer-PRN (RN)

Mclean, VA · On-site

Fosters positive and professional relationships with internal and external customers. * Attends ... Skilled in reviewing, interpreting, and abstracting data from medical records. * Strong clinical ...

Magnify

Tax Reviewer

Richmond, VA · On-site

$70K - $85K/yr

... professionally with both clients and internal teams. Location: Richmond, VA Schedule: Monday-Friday ... Review and analyze federal and state tax returns for accuracy, completeness, and compliance

Constellis

Case Reviewer

VA

Review case work and provide feedback regarding quality and completeness * Contact Field ... professional journals, technical procedures, or governmental regulations. Ability to write reports ...

Constellis

Case Reviewer

VA · On-site +1

Review case work and provide feedback regarding quality and completeness * Contact Field ... professional journals, technical procedures, or governmental regulations. Ability to write reports ...

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Professional Reviewer information

What skills and qualifications are needed to thrive as a professional reviewer?

To excel as a Professional Reviewer, you need strong writing abilities, critical analysis skills, subject matter expertise, and often a relevant degree or professional background in the field being reviewed. Familiarity with content management systems, online publishing tools, and sometimes certification in the reviewed domain is advantageous. Outstanding communication, attention to detail, and the ability to provide constructive, unbiased feedback are vital soft skills. These competencies ensure that reviews are insightful, trustworthy, and valuable to both consumers and organizations.

How do you become a professional reviewer?

To become a professional reviewer, you typically need strong writing and critical thinking skills, relevant experience in the review subject area, and the ability to provide clear, honest assessments. Building a portfolio of reviews and gaining recognition through platforms or publications can help establish credibility. Some reviewers also pursue certifications or training related to their review niche.

What is a professional reviewer?

A Professional Reviewer evaluates products, services, books, movies, or other media and provides detailed assessments for publications, websites, or companies. Their reviews help consumers make informed decisions by highlighting key features, pros, and cons. They must have strong analytical skills, excellent writing abilities, and expertise in their subject matter. Reviews may be published in blogs, magazines, or social media platforms.

What are typical challenges faced by professional reviewers in their day-to-day work?

Professional Reviewers often encounter tight deadlines, handling multiple assignments while ensuring each review remains thorough and unbiased. They may need to quickly adapt to new products, services, or industry trends, which requires ongoing research and learning. Balancing honest, critical feedback with constructive language for a wide range of audiences is another common challenge. Working both independently and as part of editorial or review teams is typical, so strong self-motivation and collaboration skills are important for success in this role.

What are the most commonly searched types of Reviewer jobs in Virginia? The most popular types of Reviewer jobs in Virginia are:
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What cities in Virginia are hiring for Professional Reviewer jobs? Cities in Virginia with the most Professional Reviewer job openings:
Professional Reviewer jobs near you
Infographic showing various Professional Reviewer job openings in Virginia as of August 2026, with employment types broken down into 63% Full Time, 33% Part Time, and 4% Contract. Highlights an 83% In-person, and 17% Remote job distribution.

Nurse Reviewer - Medicaid

Peraton

Reston, VA • On-site

$66K - $106K/yr

Other

Posted 4 days ago

Peraton rating

8.3

Company rating: 8.3 out of 10

Based on 56 frontline employees who took The Breakroom Quiz

50th of 223 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.

What Peraton employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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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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