Remote Clinical Review Specialist-Medical Necessity Appeals
Orlando, Orange County, Florida, 32815, USA
Listed on 2026-10-30
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Healthcare
Healthcare Compliance, Medical Billing and Coding
NTT DATA, Inc. is seeking a Clinical Reviewer Specialist to perform medical necessity reviews for member and provider appeals in a fully remote capacity available to Florida residents.
The role emphasizes adherence to NCQA standards, Medicaid regulations, and state/federal requirements while delivering high-quality determinations. The ideal candidate will have at least 3 years of experience in appeals processing or related reviews, strong analytical skills, and the ability to communicate
As a Remote Clinical Review Specialist-Medical Necessity Appeals, you will play an important part at NTT DATA, Inc. in Lorida, FL, United States.
Our organisation is growing, and we are hiring a Remote Clinical Review Specialist-Medical Necessity Appeals in Lorida, FL, United States.
This Full Time position is for the Remote Clinical Review Specialist-Medical Necessity Appeals role at NTT DATA, Inc.
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