Remote RN: Medical Appeals Reviewer; Florida)

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 are seeking a motivated Remote RN:
Medical Appeals Reviewer (Florida) to join NTT DATA, Inc. in Tempe, AZ, United States.

Take a moment to read everything above and see whether this role is right for you.

This posting is for the Remote RN:
Medical Appeals Reviewer (Florida) role at NTT DATA, Inc., based in Tempe, AZ, United States.

We are looking to fill the Remote RN:
Medical Appeals Reviewer (Florida) position at NTT DATA, Inc. in Tempe, AZ, United States.