Remote Lead — Clinical Appeals Coordinator

Centene Corporation

Centene Corporation is seeking a Remote Appeals Liaison to act as the statewide liaison for appeals, fair hearings, and review organizations. WA licensure is required, with 4+ years of nursing or case management and strong NCQA knowledge.

Working hours are Mon-Fri 8:00 am–5:00 pm PST, with an emphasis on accurate medical necessity determinations. Responsibilities include preparing reviews, generating compliant letters, coordinating with Medical Directors, and maintaining NCQA/state regulatory

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Vacancy posted 8 hours ago

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