Corporate Appeals Analyst - RN

Position: Corporate Appeals Analyst - RN (26-13114)
Max pay rate - $31.59/hr NON SCA Positions: 3 Contract only - currently through 12/31/2026 (Potential for extension) Onsite position
- Must be a local candidate Virtual Teams interview with Hiring Manager, Jason Perla Start date - ASAP upon clearing onboarding; currently listed for 10/26 Schedule
- Monday-Friday, typically 8am-5pm (Some flexibility for an earlier start time) Training - "One on One " | On-the-job

Qualifications:

- 3 years of clinical experience; or 2 years of clinical experience plus 1 year of utilization/medical review, quality assurance, or home health experience
- Associate Degree in Nursing or graduate of an accredited School of Nursing
- Active, unrestricted RN license in the state of hire or active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) - Healthcare insurance experience preferred Day-to-day work:
Will focus heavily on reviewing medical records and provider appeals/denials, confirming appropriate coding, and determining whether a denial should be upheld or overturned. Please ensure candidates are genuinely interested in an appeals/clinical review role and understand this is not a traditional bedside RN position before submitting. Please confirm the candidate meets the required RN licensure and experience requirements listed above before submission.

Manager is specifically looking for candidates who demonstrate dependability and accountability.