A healthcare solutions provider is seeking a Clinical Appeals Reviewer to support a contract with a federal client. This remote role requires three years of experience in medical dispute resolution or related healthcare roles. Ideal candidates are licensed healthcare professionals capable of making independent decisions and must possess a valid driver's license and have resided in the U.S. for three of the past five years. Responsibilities include reviewing medical records, making decisions, and conducting research in compliance with Medicare regulations.#J-18808-Ljbffr