Medicare Appeals & Grievances Specialist
UnitedHealth Group
UnitedHealth Group, through OptumCare, seeks a qualified professional to manage Medicare reconsiderations, grievances, and appeals, coordinating with CMS and internal stakeholders. You will help ensure CMS regulatory compliance and drive timely resolutions. The role requires 1+ year Managed Care experience in appeals/grievances, strong organizational skills, and proficiency with Access/Excel; EPIC Tapestry experience is a plus. #J-18808-Ljbffr UnitedHealth Group
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Medicare Appeals & Grievances Specialist in Pearland, TX vacancy
- ...SCHOOLS JOB DESCRIPTION Job Title CIS Crisis Intervention Specialist Department Program/Operations Department Location Communities... ...activity, whistle blowing, or the exercise of any appeal or grievance right provided by law will not be tolerated. CIS-SHC AND BC...SuggestedWork at officeFlexible hoursNight shiftWeekend workAfternoon shift
- ...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Safety Specialist (TEMPLE, TX) Pearland, TX, US SAFETY SPECIALIST JOB DESCRIPTION Position Summary Works with the Regional Safety Manager/Safety Manager...SuggestedWork experience placementWork at officeLocal areaNight shiftWeekend work
- ...The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in a safe and efficient manner. This position will also collect money on C.O.D. deliveries and pick up customer returns. Bilingual candidates encouraged...SuggestedLocal areaImmediate startFlexible hours
$19 - $21 per hour
...of a large organization; they'll visibly shape our practices, culture, and success. Position Summary The Patient Access Specialist is a part of SOL Mental Health's Patient Access team and represents the "front door" to the practice. The Patient Access...SuggestedWork at officeRemote workWork from home$24 - $43 per hour
...provide development for other roles you may be interested in. Required Qualifications: Certified Professional Coder (CPC), Coding Specialist - Physician Based (CCS-P), Certified Coding Associate (CCA) licenses 5+ years of experience in professional revenue cycle,...SuggestedHourly payMinimum wageFull timeWork experience placementLocal areaRemote work- ...members on photo department operations and services to ensure adequate coverage and operational continuity during times when the Photo Specialist is not scheduled. • Follows company policies, asset protection standards, and applicable regulatory requirements to help ensure...Work experience placementSeasonal workFlexible hoursAfternoon shift
- ...Delivery Specialist The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in a safe and efficient manner. This position will also collect money on C.O.D. deliveries and pick up customer returns....Local areaImmediate startFlexible hours
- ...shared responsibility and we work together to foster a culture where everyone belongs and is inspired to do their best work. As a Specialist, you build brand loyalty and create owners of Apple products and services. You’re dedicated to selling and delivering a customer...Local areaRelocationNight shift
- ...Full-Time Insurance Authorization Specialist STAT Home Health is hiring for a Full-Time Insurance Authorization Specialist! Why Join Us? At STAT Home Health, we invest in our people through an Employee Stock Ownership Plan (ESOP) a unique benefit that makes you...Full timeTemporary workWork at office
- Allied Fire Protection in Pearland, TX seeks a Safety Specialist to enforce safety and environmental procedures and support profitability and productivity goals. You will work with the Regional Safety Manager to ensure compliance and drive improvement across sites. Responsibilities...Weekend work
$17 - $25 per hour
Position Summary Position Summary... What you'll do What you'll do... Responsibilities Provides member service. Maintains the checkout area. Resolves member issues and concerns. Promotes Sam's Club products and services. Provides guidance and support to members regarding...Hourly payMinimum wageFull timeTemporary workPart time- TMW Merchants LLC in Pearland, TX, is seeking a Retail Store Tailor to ensure customer satisfaction through professional alterations. The tailor will work on fitting garments, marking for tailoring, and offering style suggestions to guests. The ideal candidate should have...
- Collage Home & Community Rehabilitation Partners is seeking experienced Physical Therapists to provide patient-centered care in Pearland, TX. This role offers PRN positions, involving evaluation and treatment of various impairments, working in home and community settings...ReliefWork from home
- Walmart in Pearland, TX is hiring a merchandising & stocking associate to keep shelves stocked and teams moving efficiently. You’ll unload trucks, stock backroom, assist members, and ensure a neat, member-ready area while adapting to fast-paced shifts. This role emphasizes...Shift work
- Primary Purpose To integrate technology into the curriculum in a way that develops skills, increases understanding, and explores applications so that students and staff utilize instructional technology to increase performance. Qualifications Education Bachelor's degree...Contract workWork at office
- ...PT-Stretch Specialists PT-Stretch Specialists are responsible for supporting all members in championing happier, and healthier lives by building and nurturing relationships. They will provide branded Assisted Stretch and Recovery sessions to help members feel and move...Contract work
- Kelsey-Seybold Clinic, part of the Optum family, is seeking a highly skilled professional to manage revenue cycle processes at our Pearland area location with remote work flexibility. You will oversee charge capture, denial management, and fee schedule accuracy while collaborating...Remote jobWork at office
- Collage Home & Community Rehabilitation Partners is looking for experienced Speech Language Pathologists to provide patient-centered care in Pearland, Texas. The role involves evaluating and treating various speech and language impairments within patients' homes and communities...
- PTSolutions is seeking a Tool Specialist based in Pearland, TX, to provide technical support concerning cutting tools and search for new technologies within the industry. The ideal candidate will have over 5 years of experience in the cutting tool industry and a strong...Flexible hours
$18 - $32 per hour
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized...Hourly payMinimum wageFull timeWork experience placementLocal areaRelocation- ...or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Keyword: Tool Specialist #J-18808-Ljbffr PTSolutionsTemporary workWork at officeLocal areaFlexible hours
- Aveanna Healthcare is seeking a full-time Physical Therapist for its Pediatric Outpatient Clinic in Pearland, Texas. The ideal candidate will be licensed to practice Physical Therapy and have a preference for experience in pediatric rehabilitative services. Benefits include...Full time
- ZRS Management, LLC is looking for a Leasing Consultant in Friendswood, TX. The role focuses on leasing properties by attracting tenants, screening applicants, and ensuring a smooth leasing process. Successful candidates should have strong negotiation skills, a valid driver...Full time
- A regional banking institution is seeking a Business Development professional to market their services in the community while ensuring compliance with banking regulations. The role involves fostering profitable relationships with customers by understanding their financial...Full timeLocal area
- ZRS Management is looking for a dedicated Leasing Consultant based in Friendswood, Texas. Your role will involve attracting and screening prospective tenants, negotiating lease terms, and ensuring a seamless leasing process while maintaining high occupancy rates. The ideal...Full time
- Confort Kitchen & Bath in Houston, TX is seeking an energetic Event Coordinator to plan, coordinate, and execute events that promote our kitchen and bath remodeling services. You will work closely with marketing and sales teams to generate quality customer leads. The role...Weekend work
- Milton Hershey School, a cost-free pre-K through 12th grade residential school, is seeking a Youth Development Specialist in the Education, Training & E-Learning department. This role supports students’ academic, social, and emotional growth through mentoring, small-group...Full time
- Walmart in Pearland, TX is hiring a prepared foods associate to help craft fresh items daily, wrap and label merchandise, and maintain a clean, safe, and inviting display for members. You’ll work with the team to meet high quality standards and assist customers with bakery...
- Overview:Responsible for the safe, efficient, and compliant execution of marine and terminal logistics activities. This role oversees third-party liquid terminals, marine cargo operations, inventory management, transportation loading operations, compliance requirements,...Contract work
- ...organizations. Using the nursing process and triage guidelines, you will offer care options and facilitate referrals to primary care, specialists, facilities, and community resources. The role supports flexible remote work within the United States; Minneapolis or Washington,...Remote jobWork at officeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicare Appeals & Grievances Specialist. Be the first to apply!
Related searches
- junk removal specialist Pearland, TX
- continuous improvement specialist Pearland, TX
- loss prevention specialist Pearland, TX
- hospitality specialist Pearland, TX
- fabrication specialist Pearland, TX
- process specialist Pearland, TX
- credit specialist Pearland, TX
- health specialist Pearland, TX
- esports specialist Pearland, TX
- reconciliation specialist Pearland, TX


