Clinical Appeals & Grievances Specialist - Remote
Healthfirst
Tallahassee, FL
- Remote job
Healthfirst is seeking an Appeals & Grievances Clinical Specialist to manage clinical case development and resolution for member and provider appeals. You will handle a caseload, ensure timely investigations, and maintain regulatory compliance. Location may be remote or on-site at Lake Mary, FL or NYC; some travel may be required. Responsibilities include researching issues, preparing materials for Medical Director Review and external appeals, and collaborating with interdisciplinary teams. #J-18808-Ljbffr Healthfirst
Vacancy posted 3 days ago
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