Clinical Appeals & Grievances Expert (RN)
Healthfirst
Healthfirst is seeking an A&G Clinical Specialist to lead the development and resolution of clinical cases for member and provider appeals, ensuring compliance with applicable laws and internal policies. The role can be remote or on-site at the NYC or Lake Mary locations, with travel as needed. You will manage your own caseload, perform issue research, interpret guidelines, and prepare cases for internal and external reviews. #J-18808-Ljbffr Healthfirst
Vacancy posted 2 days ago
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