Clinical Utilization & Appeals Nurse Analyst

MedRisk is looking for a Nurse Utilization and Clinical Advisor Services Analyst IV based in the Philippines. This role involves applying clinical expertise to improve healthcare resource utilization and quality. Responsibilities include adjudicating cases, evaluating claims, and providing guidance.

Qualified candidates must possess a Bachelor’s degree and an active RN license, with prior experience in healthcare or claims review. Join MedRisk to support healthcare delivery standards.