Remote Grievances & Appeals Strategist (Medicare)
Clever Care Health Plan
Huntington Beach, CA
- Remote job
Clever Care Health Plan in California seeks an Appeals & Grievances Resolution Specialist to manage member grievances, appeals, and provider disputes in accordance with CMS regulations, NCQA standards, and contractual requirements. You will independently handle cases, maintain audit-ready records, and support CMS CTM activities. This role requires 2+ years of Medicare Advantage Grievances & Appeals experience, strong analytical and communication skills, proficiency with Word/Excel/PowerPoint, #J-18808-Ljbffr Clever Care Health Plan
Vacancy posted 1 day ago
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