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RN - Clinical Appeals & Grievances Specialist

Healthfirst

Healthfirst is seeking an Appeals & Grievances Clinical Specialist to handle the end-to-end process for member and provider clinical appeals and grievances. The role involves classification, investigation, and formal responses in writing and verbally, ensuring alignment with internal policies and regulatory expectations. The position requires an RN and offers collaboration across departments to manage large caseloads in a fast-paced environment, with standard health benefits and a focus on #J-18808-Ljbffr Healthfirst

Vacancy posted 2 days ago
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