Job Details

A health care services provider is seeking a remote Quality Review Specialist in Illinois, Texas, New Mexico, or Oklahoma. The candidate will work 40 hours a week and assist in managing member and provider appeals while ensuring adherence to accreditation standards. This position requires a Bachelor's degree or equivalent healthcare experience and significant expertise in utilization management and customer relations. Skills in project management and MS Office are essential. The contract runs from December 2025 to May 2026.

#J-18808-Ljbffr