RN Clinical Appeals Specialist & Training Lead
Listed on 2026-10-18
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Nursing
Clinical Nurse Specialist
NTT DATA, Inc. is seeking an experienced Registered Nurse to serve as a SME for clinical reviews and appeals processing. You will analyze medical records and NCQA guidelines to determine medical necessity and prepare compelling case reviews for Medical Directors.
You will ensure timely review, accurate processing, and compliant communications with providers, facilities, and internal teams, driving consistency and quality in every appeal.
The following role is for a RN Clinical Appeals Specialist & Training Lead with NTT DATA, Inc.
Learn more about the RN Clinical Appeals Specialist & Training Lead role in the description above.
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