Remote-Eligible Advocacy Clinical Review Specialist
City of Albany, Albany, Albany County, New York, 12201, USA
Listed on 2026-10-21
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Healthcare
Healthcare Administration
Excellus Health Plan Inc. seeks an Advocacy Clinical Review Coordinator to investigate member and provider appeals, grievances, and complaints.
You will apply clinical nursing expertise to review medical necessity requests and expedite cases within regulatory requirements, coordinating with Medical Directors, Compliance, and Legal for timely decisions. The role requires nursing licensure and experience in quality/utilization review, with responsibilities spanning data interpretation,
Consider building your career as a Remote-Eligible Advocacy Clinical Review Specialist at Excellus Health Plan Inc.
This opportunity is part of our work in Bio & Pharmacology & Health, Management & Operations.
The advertised compensation is 62..
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
Learn more about the Remote-Eligible Advocacy Clinical Review Specialist role in the description above.
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