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Healthcare Administration Healthcare Compliance

RN Medical Review & Appeals Specialist

Job in Cleveland, Cuyahoga County, Ohio, 44101, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-01-29
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 29.05 - 67.97 USD Hourly USD 29.05 67.97 HOUR
Job Description & How to Apply Below
A leading healthcare provider is seeking a clinical professional in Cleveland to provide support for medical claim reviews, ensuring compliance with regulatory requirements. The ideal candidate should be a Registered Nurse with at least 2 years of clinical experience, including utilization review. Responsibilities include validating medical claims, resolving complaints, and assisting with complex claim reviews. The position offers a pay range of $29.05 - $67.97 per hour and comes with a competitive benefits package.
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