Hybrid Grievances & Appeals Specialist
VNS Health
VNS Health seeks a Grievance and Appeals Specialist to resolve grievances and appeals for MLTC, MA, FIDA, and Select Health plans in a hybrid New York environment. The role ensures regulatory compliance, timely processing, and accurate record-keeping of decisions. Responsibilities include investigating complex cases, coordinating with enrollees, providers, and internal departments, and assisting with data collection and reporting. #J-18808-Ljbffr VNS Health
Vacancy posted 4 days ago
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$34 - $35 per hour
...Job Description Job Description Grievance & Appeals Specialists Location: New York, NY (Hybrid/Onsite as applicable) Pay: $34.00 - $35.00 per hour Full-Time We are seeking experienced Grievance & Appeals Coordinators to support the intake, investigation...SuggestedHourly payFull timeWork at office$66.3k - $79.8k
Overview Resolves grievances, appeals and external reviews for VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage... ...SelectHealth businesses. Works under general supervision. Hybrid position. Grievance and appeals experience required. What We...SuggestedWork experience placementWork at officeFlexible hours- ...Medicare and Medicaid Services (CMS). Essential Job Duties Serves as team lead for submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members, providers and related outside agencies. Trains new employees and provides guidance...SuggestedRemote jobContract workWork at office
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