About this role
Clinical Reviewer Specialist at NTT DATA Services. Location: Manila, Metro Manila, Philippines. Role: reviewing appeals, preparing recommendations, communicating providers Requirements: Active RN state or compact licensure, 1+ years processing appeals or utilization management, knowledge of NCQA and Medicaid regulations, strong analytic and written/verbal communication skills, able to work US daytime shift. Category: Healthcare Services - Nursing Seniority: Entry Level Certifications: rn, compact licensure Commitment: Full Time Workplace: Onsite Languages: English