About this role
Clinical Reviewer Specialist at NTT DATA Services. Location: Manila, Metro Manila, Philippines. Role: preparing reviews, processing appeals, documenting appeals Requirements: Active RN licensure (state or compact), 1-3 years appeals or utilization management experience, knowledge of NCQA and Medicaid regulations, strong analytic and written/verbal communication skills. Category: Healthcare Services - Nursing Seniority: Entry Level Certifications: rn, compact state licensure Commitment: Full Time Workplace: Onsite Languages: English