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UnitedHealth Group is seeking a Clinical Appeals RN to attend MassHealth appeal hearings, defend prior authorization decisions, and perform pre-service clinical coverage reviews. You will work with managers and peers to ensure decisions align with guidelines and
Optum, a part of UnitedHealth Group, seeks a Clinical Appeals RN to attend MassHealth appeal hearings, defend prior authorization decisions, and conduct clinical coverage reviews for the MA program. This role supports the MA MLTSS program and
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