**Requisition number:** 2365555
**Job category:** Medical & Clinical Operations

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start  **Caring. Connecting. Growing together.**

The Clinical Preservice/Clinical Appeals Reviewer is responsible for performing MassHealth LTSS pre-service clinical coverage reviews and determinations and clinically appropriate appeal hearing representation. The Preservice Reviewer/ Clinical Appeals is responsible for attending appeal hearings, defending MassHealth LTSS prior authorization determinations. This position collaborates closely with managers and ...