Remote USRN: Medical Appeals & Utilization Review Specialist
NTT DATA North America
Full-time
Bio & Pharmacology & Health
Location
, metro manila, philippines, metro manila, Philippines
Posted
July 27, 2026
Job Description
NTT DATA North America is seeking a Utilization Review Medical Appeals Nurse (USRN) based in Manila, Philippines, to support US daytime shift operations.
The role involves reviewing medical records to determine medical necessity, preparing case reviews for Medical Directors, and ensuring timely adherence to NCQA and Medicaid standards while working remotely with cross‑functional teams.
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