Remote Clinical Appeals Nurse - Medicaid & Hearings
Remote / Online - Candidates ideally in
Lawrence, Essex County, Massachusetts, 01842, USA
Listed on 2026-07-27
Lawrence, Essex County, Massachusetts, 01842, USA
Listing for:
Medasource
Remote/Work from Home
position Listed on 2026-07-27
Job specializations:
-
Nursing
Job Description & How to Apply Below
Medasource is seeking a Clinical Appeals Nurse (Massachusetts License) to handle clinical appeals and state hearings for a large payer client. This role is 100% remote and requires MA RN licensure with strong regulatory and Medicaid knowledge.
You will review provider and member appeals, prepare state hearing packets, and coordinate with state agencies while ensuring compliance with policy and guidelines. Strong communication and documentation skills are essential for success.
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