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Remote HEDIS RN Appeals Specialist

Remote / Online - Candidates ideally in
Hialeah, Miami-Dade County, Florida, 33002, USA
Listing for: Actalent
Full Time, Remote/Work from Home position
Listed on 2026-11-05
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 38 - 42 USD Hourly USD 38.00 42.00 HOUR
Job Description & How to Apply Below

Actalent is hiring multiple RNs for a HEDIS-focused contract role starting in November. Candidates must hold an active RN license and have 3+ seasons of HEDIS experience, with nursing background aligned to medical quality measures. LPNs are not considered for this position.

The role is remote, US-based, with a pay rate of $38–$42 per hour. Responsibilities include reviewing clinical data, preparing case reviews, and producing appeal communications in line with NCQA guidelines.

Join us at Actalent as our next Remote HEDIS RN Appeals Specialist in Tampa, FL, United States.

This posting is for the Remote HEDIS RN Appeals Specialist role at Actalent, based in Tampa, FL, United States.

We are looking to fill the Remote HEDIS RN Appeals Specialist position at Actalent in Tampa, FL, United States.

The Remote HEDIS RN Appeals Specialist role at Actalent is now open for applications in Tampa, FL, United States.

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