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RN Medical Review & Appeals Specialist

Job in City of Rochester, Rochester, Monroe County, New York, 14602, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
Location: City of Rochester

A leading healthcare provider in Rochester is seeking a skilled Registered Nurse for clinical review of medical claims and appeals. The role requires at least 2 years of clinical experience, with a focus on utilization review and claims auditing. Candidates should possess strong analytic and communication skills, with active RN licensure. The position offers competitive hourly pay, benefits, and opportunities for professional development in a supportive environment.
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