Grievance Coordinator
Virtual Vocations Inc
Working remotely in a full-time capacity, the Grievance Coordinator will review and investigate member complaints within the Medicare Grievances Program, ensuring resolution in accordance with organizational and regulatory guidelines. Key responsibilities Conduct thorough investigations into member complaints and achieve resolutions through action and education Perform root cause analysis on escalated grievances to identify underlying issues Document investigations and maintain accurate records of actions taken and resolutions provided Required qualifications Bachelor's degree or equivalent experience 1+ years of related work experience or relevant knowledge and skills Ability to maintain high ethical standards and demonstrate good critical thinking Strong investigatory skills with the ability to assess risk and respond appropriately Organizational skills to prioritize tasks effectively in a high-volume environment
$44.1k - $54.83k
...candidate authorized to work in the United States, although we are unable to sponsor visas for this role at this time. Position: Grievance Coordinator Position Summary: Works an important part of the Medicare Grievances Program, which is the heartbeat of Plan...SuggestedFull timeWork experience placementWork at officeRemote workVisa sponsorship$17 - $28.46 per hour
...community at a time. Position Summary Review, research, and enter grievance and appeal cases within one business day of receipt. Monitor... ...when needed. Participate in weekly team meetings with Intake Coordinators, analysts, Quality team members, managers, and project...SuggestedHourly payFull timeLocal area$17 - $25.65 per hour
...Responsible for intake, investigation and resolution of appeals, complaints and grievances scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response...SuggestedHourly payFull timeContract workLive inLocal area- ...the Labor Relations Department, ensuring the timely, accurate, and compliant administration of contractual grievance processes. You’ll take ownership of coordinating meetings, tracking cases, and maintaining high‑quality grievance data while navigating new challenges in...SuggestedFlexible hours
- ...requests by members and providers, pulls case files, meets with Grievance & Appeals Manager for further review and action, which may... ...appeals, and/or claim disputes. May attend State Fair Hearings. # Coordinates and assists the Grievance & Appeals Manager in preparing for...SuggestedWork experience placement
- ...Managing and coordinating grievance and appeals processes, the full-time Grievance & Appeals Coordinator will review incoming cases, ensure compliance with regulatory guidelines, and collaborate with internal teams while working in a hybrid remote environment. Key responsibilities...Full timeWork at officeRemote work
- ...Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator, a W2 contract engagement with one of our largest clients in Detroit, MI! REMOTE!! Title: Grievance & Appeals Coordinator Location : Detroit, MI (Fully Remote) Duration: 1...Contract workRemote work
- ...Job TitleResponsible for the receipt, investigation, and facility responses to grievances that are filed by inmates of the facility. Makes recommendations for corrective action when appropriate.Job DescriptionAre you looking for a career you can feel good about? We hire...Contract workWorldwideFlexible hours
$28 - $34 per hour
...breakthrough clinical AI platform. Read more about Akido’s $60M Series B. More info at Akidolabs.com. Position Summary The Grievance Coordinator is responsible for the management, investigation, documentation, and resolution of all health plan grievances, complaints, appeals...Hourly payWork at office- ...Job Overview Akkodis is partnering with a local Health Plan who is hiring a Grievance Coordinator for a temporary 3-month contract. Terms Temporary 3-month contract Remote (must pick up equipment) $28/hr W2 Qualifications 3+ years’ experience as a Service Representative...Temporary workLocal areaRemote work
$19.43 - $32.98 per hour
## Grievance & Appeals Coordinator IApply: Remote-CA: Full time: Posted Today: End Date: September 20, 2026 (2 days left to apply): 1659812**Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution...Hourly payFull timePart timeH1bWork at officeRemote workFlexible hours$23.22 - $34.84 per hour
...unless an accommodation is granted as required by law. ~ Shift hours: Mon, Tues, Sat, Sun 8:30 am – 7:00 pm CST Grievance & Appeals Coordinator Responsibilities Summarizes and presents essential information for the clinical specialist or medical/dental director...Full timeWork at officeLocal areaShift work$23.22 - $34.84 per hour
A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high...Hourly payFull timeRemote work- Medica is seeking an Appeals & Grievances Intake Coordinator II to handle intake, case entry, and routing for member and provider appeals and grievances. Responsibilities include applying guidelines to classify cases, entering data accurately, and routing to the correct...Remote job
$41.3k - $70.8k
...for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. The Appeals & Grievances Intake Coordinator II performs intake, case entry, and routing activities for member...Work experience placementRemote work- A staffing solutions company is seeking a Grievance & Appeals Coordinator for a fully remote position in Detroit, MI. This role involves processing appeals, grievances, and inquiries while maintaining accurate documentation and effective communication. The ideal candidate...Remote jobContract work
- The Appeals and Grievance (A&G) Coordinator at Point32Health is responsible for assisting with operational aspects of the A&G assignment process in line with state and federal rules. Responsibilities include processing mail, coordinating with vendors, tracking cases, and...
$21.32 - $31.98 per hour
...members, partners, colleagues and communities. Learn more about who we are at Point32Health. Job Summary The Appeals and Grievance (A&G) Coordinator is responsible, per State and Federal regulations, for assisting with all operational aspects of the Appeals and Grievances...Work at officeWork from homeFlexible hoursAfternoon shift- Medica is a nonprofit health plan serving communities across Minnesota and beyond. The Appeals & Grievances Intake Coordinator II performs intake, case entry, and routing to support timely processing while applying knowledge of A&G procedures and regulatory requirements...Remote job
- GEO Corrections & Detentions seeks a dedicated officer to manage inmate grievances and investigations. The role requires handling grievances, documenting actions, and recommending corrective actions within established procedures. The position emphasizes written communications...
- ProPivotal in Hingham, MA is seeking a Medicare Advantage Grievance Coordinator. This on-site role involves processing grievances, appeals, or member complaints within a structured, compliant environment. You will work under CMS guidelines, maintain precise case notes,...Hourly payWeekly pay
$21 - $22 per hour
Compensation: $21 - $22/hour. Weekly pay, fast interview, quick response. Medicare Advantage Grievance Coordinator - Hingham, MA ProPivotal is building candidate inventory for a recurring Medicare Advantage Grievance Coordinator role in Hingham, MA. If you have experience...Weekly pay$30 - $32 per hour
Immediate need for a talented Grievance and Appeals Coordinator . This is a 6+ months contract opportunity with long-term potential, located in Corona, California (Hybrid) . Please review the job description below and contact us ASAP if interested. Pay Range $30.00/hr...Contract workImmediate start- Point32Health is seeking an Appeals and Grievance Coordinator to support the A&G Analyst by handling mail, organizing cases, and ensuring timely processing in accordance with state and federal regulations. The role requires 1-2 years in health care customer service and...Remote job
$30 - $32 per hour
Overview Immediate need for a talented Grievance and Appeals Coordinators . This is a 06+months contract opportunity with long-term potential and is located in Portland, CA(Hybrid) . Job ID: 25-81619 Base pay range: $30.00/hr - $32.00/hr Responsibilities Manage grievances...Contract workLocal areaImmediate start$25.85 per hour
...sense of service, high standards of professionalism and a responsibility to better the public good. We are currently seeking a Grievance Coordinator who has a passion for providing the highest quality care in an institutional, secure setting. Come join a team that is...Hourly payContract workWork at office$48.37k - $72.56k
...Job Duties/ResponsibilitiesMonitors the CTM portal daily for new cases.Acknowledges receipt of all Complaint Tracking Module (CTM) grievances and appeals cases.Gathers pertinent information from members, providers, internal departments and delegated entities to determine...Remote job$22 - $23 per hour
Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity with long-term potential and is US ( Remote ). Please review the job description below and contact me ASAP if you are interested. Job Diva ID: 26-07046 Pay Range: $22.00 -...Contract workWork at officeLocal areaImmediate startRemote work- ...Job Description Job Description Job Title: Grievance & Appeals Coordinator I Location: Remote in Indiana (**MUST be a resident of Indiana) Pay: $22 hourly - *weekly pay Position Purpose: Analyze and resolve verbal and written claims and authorization appeals...Hourly payWeekly payRemote work
- ...Agency: Oregon Health Authority Salary Range: $5,458 - $8,352 Position Type: Employee Position Title: Complaint Grievance Process Coordinator (Operations & Policy Analyst 2) Job Description: If this opportunity aligns with your strengths, background, and commitment...Permanent employmentFull timeWork experience placementWork at office
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