NTT DATA, Inc. in Tampa, Florida seeks a BPO Clinical Review Specialist to perform clinical and medical necessity reviews supporting member and provider appeals.
You will evaluate medical records and criteria to determine necessity and prepare recommendations for Medical Director review, ensuring compliance with NCQA standards and Medicaid guidance. This remote Florida role offers benefits including medical, dental and vision insurance, a 401(k) match, PTO, disability coverage, and a focus on
#J-18808-LjbffrRemote RN Clinical Appeals Reviewer (Florida) in tampa at Unknown Company
- Typical pay
- $71,760–$110,650
For context, most registered nurses earn between $71,760–$110,650 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.