Grievance & Appeals Coordinator I
A-Line Staffing Solutions
Job Title: Grievance & Appeals Coordinator I - 210056 Address: Woodland Hills, CA Job Description Coordinate and manage grievance and appeals processes, ensuring compliance with regulatory standards. Review and analyze grievance and appeal cases to determine appropriate resolutions. Collaborate with internal teams to gather necessary information and documentation. Maintain detailed records of case activities and outcomes. Communicate effectively with members, providers, and internal stakeholders regarding case status and resolutions. Critical Information Shift: Standard business hours; hybrid work environment possible. Remote/on-site: Hybrid. Compliance and submission notes: Follow applicable regulatory guidelines and internal policies. Education/Licenses Needed High school diploma or equivalent. Experience in grievance and appeals processes preferred. Benefits: Benefits are available to full-time employees after 90 days of employment. A 401(k) with company match is available after 1 year of service. This is an AI-formatted job description; recruiter confirmation required.
Vacancy posted 2 days ago
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