Remote RN: Health Claims & Compliance Specialist

Qlarant is seeking a Nurse Specialist II for a full-time remote position in the United States. The role involves performing medical record and claims reviews to ensure compliance with guidelines, addressing potential overpayment, fraud, waste, and abuse in Medicare and Medicaid claims.Ideal candidates should have a Bachelor's degree, 2-4 years of relevant experience, and current RN licensure. This position offers the opportunity to contribute to healthcare quality and oversight in a dynamic environment. #J-18808-Ljbffr