Remote Clinical Review RN — Appeals & Medical Necessity (FL)
NTT DATA, Inc.
NTT DATA, Inc. is seeking a Clinical Reviewer Specialist for a fully remote position based in Florida. You will perform clinical and medical necessity reviews for member and provider appeals, evaluating records and criteria to support Medical Director recommendations while ensuring regulatory and NCQA compliance.
The role requires RN licensure (Florida or compact), 3+ years in appeals or related operations, and ability to work U.S. daytime hours.
#J-18808-LjbffrVacancy posted 1 hour ago
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