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