Remote RN: Medical Appeals Reviewer; Florida)
Yuma, Yuma County, Arizona, 85364, USA
Listed on 2026-10-30
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Nursing
RN Nurse
NTT DATA, Inc. seeks a Clinical Reviewer Specialist to perform clinical and medical necessity reviews for member and provider appeals, evaluating records against NCQA standards and Medicaid requirements.
Role offers remote work within Florida, requires RN licensure, 3 years’ experience in appeals or related fields, and duties include preparing case summaries and recommendations for Medical Directors, with collaboration across stakeholders.
We invite applications for the Remote RN:
Medical Appeals Reviewer (Florida) position located in Tempe, AZ, United States.
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 RN:
Medical Appeals Reviewer (Florida) role in the description above.
We appreciate your interest in this position.
Join NTT DATA, Inc. and contribute to our ongoing work.
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