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Job description
NTT DATA is seeking a BPO Clinical Review Specialist to join our Tampa, FL team. You will perform clinical and medical necessity reviews to support timely processing of member and provider appeals, evaluating records and applying criteria to determine necessity.
The role is fully remote within Florida, requires active RN license, and offers benefits; salary is $76,000 with opportunities for professional growth and compliance with NCQA and Medicaid standards.
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Worksite address
tampa, FL, 33646, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.