NTT DATA is seeking a BPO Clinical Review Specialist to join our Tampa, FL team. You will perform clinical and medical necessity reviews to support timely processing of member and provider appeals, evaluating records and applying criteria to determine necessity.
The role is fully remote within Florida, requires active RN license, and offers benefits; salary is $76,000 with opportunities for professional growth and compliance with NCQA and Medicaid standards.
#J-18808-LjbffrRemote RN: Clinical Appeals Reviewer (Medicaid) in tampa at Unknown Company
This position is listed as full time and able to be worked remotely.