About this role
Clinical Reviewer Specialist at NTT DATA Services. Location: Manila, National Capital Region, Philippines. Role: performing reviews, analyzing records, communicating providers Requirements: Active RN state licensure (or compact), 1+ year experience in appeals or utilization management, knowledge of NCQA and Medicaid regulations, strong analytic and written/verbal communication skills. Category: Healthcare Services - Nursing Seniority: Entry Level Certifications: rn Commitment: Full Time Workplace: Onsite Languages: English