Remote Clinical Appeals & Compliance Liaison
Shawnee, Johnson County, Kansas, 66203, USA
Listed on 2026-09-30
-
Healthcare
Healthcare Compliance
Centene Corporation is seeking a Nurse Appeals Reviewer to act as liaison for statewide appeals, fair hearings, and external appeals, ensuring NCQA and state compliance. You will review clinical information to determine medical necessity, prepare reviews, gather and report information, and maintain logs.
Remote/hybrid/office options available, with competitive pay and comprehensive benefits. You will collaborate with Medical Directors and stay current on NCQA/state regulations, handling complex
Consider building your career as a Remote Clinical Appeals & Compliance Liaison at Centene Corporation.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
The position is based in KS, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).