Grievances & Appeals Case Specialist
Blue Cross and Blue Shield of RI Careers
Blue Cross and Blue Shield of RI Careers is seeking a GAU Case Specialist in Providence to investigate, manage, and resolve member and provider grievances, complaints, and appeals in compliance with CMS, NCQA, and state requirements. You will research information from multiple sources, document findings, and communicate determinations to stakeholders. The role emphasizes detailed case documentation, regulatory adherence, and collaboration with internal and external partners to ensure timely #J-18808-Ljbffr Blue Cross and Blue Shield of RI Careers
Vacancy posted 4 days ago
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