Clinical Reviewer Job at NTT DATA, Tampa, FL

WVFXMzFqYVA4S2VHZTN0WEJ4V2xHNWM5Y1E9PQ==
  • NTT DATA
  • Tampa, FL

Job Description

NTT DATA, Inc. in Tampa, Florida seeks a BPO Clinical Review Specialist to perform clinical and medical necessity reviews supporting member and provider appeals. You will evaluate medical records and criteria to determine necessity and prepare recommendations for Medical Director review, ensuring compliance with NCQA standards and Medicaid guidance. This remote Florida role offers benefits including medical, dental and vision insurance, a 401(k) match, PTO, disability coverage, and a focus on #J-18808-Ljbffr

Job Tags

Remote work

Similar Jobs

Abacus Technology Corporation

Cyber Security Specialist Job at Abacus Technology Corporation

 ...Company Description Abacus Technology Corporation is a Federal government contractor and provider of enterprise information technology (IT) services and solutions. For 40 years, weve developed effective partnerships with government and industry to tackle business... 

Rooms To Go

EQUIPMENT OPERATOR I Job at Rooms To Go

 ...Rooms To GoEquipment Operator IStarting Salary: Starting pay $17.50 per hourEarn $50 additional weekly bonus for working certain shifts...  ...Benefits starting at $10 per weekEmployee discounts on Rooms To Go furniture purchasesJoin our TEAMLook around. Does it seem like we... 

Ivy Tech Community College

Part-Time Dental Assisting Instructor (Adjunct) Job at Ivy Tech Community College

Ivy Tech Community College is seeking Adjunct Faculty for the Dental Assisting program in Anderson, Indiana. This part-time role entails creating a supportive learning environment and providing effective instruction. Candidates should hold a baccalaureate degree, be a... 

North Carolina Chapter of the Appraisal Institute

Senior Commercial Real Estate Review Appraiser Job at North Carolina Chapter of the Appraisal Institute

 ...NCAI Job PostingJob Title Senior Commercial Real Estate Review AppraiserOrganization U.S. BankLocation(s) Charlotte, NC; Atlanta, GA, Cincinnati, OH; St. Lous, MO; Chicago, ILJob Description Manage commercial real estate appraisal process for assigned market area(... 

BrightSpring Health Services

Dietitian Job at BrightSpring Health Services

 ...them in a completely different way? As a Clinical Registered Dietitian with Rehab Without Walls Home & Community Program, youll...  ...Hourly pay not visit-based compensation Paid drive and travel time + mileage reimbursement Access to continuing education...