BPO Clinical Review Senior Specialist
Compensation
$81k
Employment type
Full-time
Work setting
On-site
Location
Jacksonville, FL
Schedule
Day shift
Posted
You'll be redirected to the employer's application page.
Job overview
The BPO Clinical Review Senior Specialist is a remote full-time position based in Jacksonville, FL. The salary for this role is $81,120 per year, supporting clinical review operations for NTT DATA Services, LLC. This role exists to conduct quality audits of clinical appeal reviews and provide subject matter expertise. The specialist ensures that appeal determinations are accurate, timely, and compliant with regulatory requirements and organizational policies.
What you'll do
- Conduct quality audits of clinical appeals
- Evaluate medical records and appeal determinations
- Identify quality trends and defects
- Provide coaching and feedback to team members
- Serve as a subject matter expert.
What we're looking for
- Skills & competencies
- full-timeremoteclinical reviewjacksonville flhealthcarelpn$81kquality auditappealssme
- Work arrangement
- Weekend coverage required
Benefits & perks
- Medical, dental, vision insurance, 401(k) with match, paid time off, and disability coverage.
Why this role
Requires active Florida LPN license and prior quality analyst experience.
About the employer
NTT DATA Services, LLC is hiring for this role. Industry: Offices of Physicians (except Mental Health Specialists). Sector: 62.
Additional details
- Industry sector
- 62
- Industry
- Offices of Physicians (except Mental Health Specialists)
- Occupation code
- 29-2061.00
You'll be redirected to the employer's application page.
Listing ID: e19e4c03-0176-4e2f-916e-8653f47db84f