NTT DATA - Philippines, Nursing

Seeking a detail-oriented **Clinical Reviewer Specialist** in **Manila, Philippines** to perform clinical reviews and process appeals. This role requires an **RN license** and 1-3 years of experience in utilization management or appeals. You will analyze medical records for medical necessity, ens...

Seeking a detail-oriented **Clinical Reviewer Specialist** in **Manila, Philippines** to resolve and process appeals. This role requires an active **RN license** and 1-3 years of experience in utilization management or appeals. You will analyze medical records for medical necessity, ensuring comp...

Lead a dedicated team managing US healthcare payer claims adjudication in Manila. This night shift manager role requires 5+ years of experience, strong leadership, and a relevant undergraduate degree. You will supervise a large operational team, ensuring the highest quality of service and client ...

Seeking a USRN Utilization Review Nurse in Manila. Conduct clinical reviews and process appeals, ensuring compliance with NCQA and Medicaid standards. Requires 1-3 years of UM experience, an active RN license, and strong analytical skills. This is a daytime shift role supporting US operations.