Remote Clinical Appeals Specialist (Florida)

NTT Data

Remote job

NTT DATA, Inc. is seeking a Clinical Reviewer Specialist to perform clinical and medical necessity reviews to support appeals processing. You will evaluate medical records and criteria, prepare recommendations for Medical Director review, and ensure compliance with NCQA, Medicaid, and state regulations. The role is fully remote within Florida, requiring 3 years of relevant experience in appeals processing or clinical review operations. #J-18808-Ljbffr NTT DATA, Inc.

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Vacancy posted 3 days ago

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