Director of Member Appeals & Grievances
Kids for the Future
Harbor Health seeks an experienced Appeals & Grievances Director to lead the health plan's appeals and grievances function across Texas markets, ensuring CMS/TDI/NCQA compliance and timely resolutions. You will manage a team, collaborate with Compliance, Legal, Claims, and Member Services, and advocate for members within Harbor Health's payvider model. You will oversee policy design, audits, and regulatory reporting to sustain accreditation and quality standards while driving process #J-18808-Ljbffr Kids for the Future
Vacancy posted 1 day ago
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