Remote RN: Medical Appeals Reviewer
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Nursing
Job Description & How to Apply Below
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 Tampa, FL, United States.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
The position is based in Tampa, FL, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 68.000 - 84.000.
This role offers the option to work remotely.
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