Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Grievance & Appeals Manager (Remote/Hybrid)

PA Health & Wellness

New York, NY
  • Remote job

Centene is seeking a clinical professional to join our Medical Management/Health Services team to ensure proper processing of member grievances, provider appeals, and state fair hearings. You will serve as the primary contact with the State and oversee the daily activities of the Grievance & Appeals Coordinators. Bachelor’s degree or equivalent experience is required with 3+ years in healthcare or law, plus leadership experience managing cross-functional teams on large projects. #J-18808-Ljbffr PA Health & Wellness

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Grievance & Appeals Manager (Remote/Hybrid) in New York, NY vacancy
  • $30 - $35 per hour

     ...seeking a Mid-Senior Level professional for a contract role to manage grievances and appeals. Candidates should have 6+ years in customer service with...  ...range of $30.00/hr - $35.00/hr based on qualifications. Remote work is available for candidates within 100 miles of... 
    Remote job
    Contract work
    For contractors

    Artech L.L.C.

    Portland, OR
    5 days ago
  • CVS Health is seeking a Senior Manager, Quality Assurance and Audit to lead the Grievance & Appeals QA program across Medicare, Medicaid, and Duals. You will shape strategy...  ...environment. You will build and mentor a remote team of Quality Analysts, partner with cross‑functional... 
    Remote job

    CVS Health

    Brooklyn, NY
    3 days ago
  • $27 - $31 per hour

    Pyramid Consulting, Inc. is seeking an Appeals & Grievances Case Manager for a California assignment in Los Angeles. This is a 06+ months contract with potential for extension, and is listed as remote in the LA area. The role requires extensive appeals experience within... 
    Remote job
    Hourly pay
    Contract work

    Pyramid Consulting, Inc

    Los Angeles, CA
    4 days ago
  • $67.9k - $182.55k

     ...in the US Position Summary The Senior Manager, Quality Assurance and Audit is a critical...  ...of quality programs within the Grievance & Appeals QA organization. This role ensures operational...  ...a team of Quality Analysts in a remote environment Track, monitor, and manage... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area

    CVS Health

    Brooklyn, NY
    4 days ago
  •  ...Grievance & Appeals CoordinatorAre you an analytical problem solver with a passion for healthcare managed care? We are seeking dedicated Grievance & Appeals Coordinators to join our growing...  ..., collaborative team! In this fully remote role, you will analyze and resolve... 
    Remote work
    Work from home
    Home office
    Weekend work

    Randstad

    Little Rock, AR
    5 days ago
  • $40k - $52.3k

     ...Grievances & Appeals Representative Become a part of our caring community...  ...& Appeals Representative 2 manages client denials and concerns...  ...Requirements: To ensure Home or Hybrid Home/Office employees'...  ...Travel: While this is a remote position, occasional travel... 
    Remote work
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Monday to Friday
    Shift work

    Minnesota Jobs

    Saint Paul, MN
    1 day ago
  • Moda Health is seeking a motivated professional to investigate and respond to medical, pharmacy and dental grievances, complaints, and appeals. This is a full-time work-from-home position within Government Programs. Responsibilities include thorough case review, timely... 
    Remote job
    Full time
    Work from home

    Moda Health

    Portland, OR
    3 days ago
  • $116.3k - $264.6k

    UCLA Health is seeking a Labor Relations Manager to provide leadership and guidance on UC policies. This role includes directing grievance processes and serving as a key resource for...  .... This position offers a flexible hybrid work environment and a competitive salary... 
    Remote job
    Flexible hours

    UCLA Health

    Los Angeles, CA
    3 days ago
  • $248.5k - $373k

     ...!You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...  ...challenges. Primary Responsibilities:The Appeals and Grievances Medical Director is responsible for...  ...Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses... 
    Remote work
    Minimum wage
    Work experience placement
    Local area
    Work from home

    UnitedHealth Group

    Cypress, CA
    1 day ago
  • $19.43 - $32.98 per hour

    ## Grievance and Appeals Coordinator IApplylocations: Remote-AZtime type: Full timeposted on: Posted Yesterdayjob requisition...  ...professional on our Medical Management/Health Services team. Centene is...  ...flexible approach to work with remote, hybrid, field or office work schedules.... 
    Remote work
    Full time
    Part time
    Live in
    Work at office
    Flexible hours

    Centene Corporation

    Brooklyn, NY
    3 days ago
  •  ...decisions. At AZ Blue, we have a hybrid workforce strategy, called...  ...as hybrid, onsite or remote. While the majority of our employees...  ...clinical acumen and managed care expertise related to researching...  ...for member and provider appeals, grievances, reconsiderations and... 
    Remote job
    Contract work
    Work experience placement
    1 day per week

    Blue Cross Blue Shield of Arizona

    Phoenix, AZ
    3 days ago
  • A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching... 
    Remote work

    Healthfirst

    New York, NY
    3 days ago
  • CVS Health in the United States is seeking a Senior Manager, Quality Assurance and Audit to lead the G&A QA program across Medicare, Medicaid...  ...compliance in a highly regulated environment while guiding a remote team of quality analysts. You will oversee internal and... 
    Remote job

    CVS Health

    Florida, NY
    3 days ago
  • CVS Health in the United States seeks a Senior Manager, Quality Assurance and Audit to lead QA programs across Medicare, Medicaid, and...  ...develop a high-performing team of Quality Analysts in a largely remote environment. This role requires strategic thinking, cross-... 
    Remote work

    CVS Health

    Raleigh, NC
    4 days ago
  • DescriptionAccounting ManagerBaltimore, MD | Hybrid (2 Days Onsite / 3 Days Remote)Why This Opportunity Stands OutA global industry leader is seeking an Accounting Manager to join its Baltimore-area team. This is an outstanding opportunity for an experienced Senior Accountant... 
    Remote work
    Work from home
    Flexible hours

    Robert Half

    Baltimore, MD
    1 day ago
  • $181k - $226k

     ...Brex is seeking a Relationship Manager for its Startups team in San Francisco. This pivotal role involves managing a portfolio of approximately...  ...an OTE range of $181,000 - $226,000. This position offers a hybrid work environment with flexible work-from-home options. #J-18808... 
    Remote work
    Work from home
    Flexible hours

    Brex

    San Francisco, CA
    1 day ago
  •  ...To support a growing remote team, the full-time Appeals and Grievance Specialist will manage and resolve complaints, grievances, and appeals from members and providers while ensuring compliance with applicable requirements. Key responsibilities Manage and resolve complaints... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    3 days ago
  • $120k - $150k

     ...Overview Manager, Care Strategy and Operations Total Compensation: $120-150K base + commission + equity Schedule: Full-time Location: Las Vegas - starting remotely, then hybrid Role Type: Full-time About Everself Everself is on a mission to cure... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Everself

    Las Vegas, NV
    1 day ago
  • $149.92k - $166.58k

     ...Eversource supports work-life balance by offering hybrid schedules for certain roles. Eligibility...  ...guidelines apply to roles approved for remote work and are subject to change, based on...  ...change.This position is responsible for managing, developing, standardizing, coordinating... 
    Remote work
    Full time
    H1b
    Work at office

    Eversource Energy

    Westwood, MA
    2 days ago
  • $110k - $175k

     ...of Food People!The Community Affairs Senior Manager is responsible for developing, implementing,...  ...it serves.This position has been segmented as Hybrid meaning there is a combination of three onsite days and the rest remote. Responsibilities:Develop, manage, execute and... 
    Remote work
    Minimum wage
    Full time
    Temporary work
    Local area

    US Foods

    California
    20 hours ago
  • $119.1k - $178.5k

    *This role is hybrid in Stillwater, MN or Hopkins, MN and requires working 3 days per week in office.Job Overview: The Senior Manager of Merchandising Analytics is responsible for leading and...  ...split between onsite and remote work is determined by the manager.... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Immediate start
    Flexible hours
    Shift work
    3 days per week

    UNFI

    Stillwater, MN
    2 days ago
  • Santa Barbara Cottage Hospital is seeking a Grievance and Appeals Nurse for a remote position based in Indiana. Responsibilities include investigating...  ...Director approval. Candidates need at least 2 years in managed care and an IN RN license, with MCG experience and preferred... 
    Remote job

    Santa Barbara Cottage Hospital

    New York, NY
    2 days ago
  • $107.5k - $204.5k

     ...Rita Rd ~ BLDG 9030 Position Role Type:Hybrid U.S. Citizen, U.S. Person, or Immigration...  ...and defense.Raytheon has an opening for a Manager, Contracts in the Strategic Initiatives...  ...role is designated as on-site, hybrid or remote.The salary range for this role is 107,500... 
    Remote work
    Contract work
    Temporary work
    Work experience placement
    Work at office
    Flexible hours

    Raytheon

    Tucson, AZ
    3 days ago
  • $90k - $100k

     ...[Hybrid] Sales Manager (Freight/Export Logistics exp req) Location: Carlsbad, CA Salary: $90,000 - $100,000 DOE + Quarterly Gross Profit...  ...Type: Full-Time Schedule: Hybrid; 3 days onsite / 2 days remote after training period Travel: Minimal; occasional customer... 
    Remote work
    Full time
    Immediate start
    Relocation package

    Rhodes Wolfe

    Remote
    1 day ago
  •  ...measurable business outcomes.Role OverviewAs Integrated Marketing Manager for ABM, you will own full-funnel, multi-channel campaign...  ...and sport courses in select locations.Flexibility: Hybrid or remote options (depending on location) and flexible working hours to... 
    Remote work
    Flexible hours

    KNIME

    Austin, TX
    2 days ago
  • $102.18k

     ...Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical Department:...  ...The position supports the A&G Clinical Manager. This role also assists the A&G Leadership...  ...hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours... 
    Remote work
    Full time
    Shift work
    Weekend work

    LOS Angeles Care Health Plan

    Los Angeles, CA
    5 days ago
  •  ...the Change. Elevate the Care. Shape the Future of Quality at SRHS. Join us as our next Remote Quality Manager!Spartanburg Regional Healthcare SystemLocation: Spartanburg, SC (Hybrid). Must reside within a commutable distance as travel to any of our locations may be needed... 
    Remote work

    Spartanburg Regional Medical Center

    Spartanburg, SC
    1 day ago
  • Ennoble Care seeks an experienced Full-time BHI Specialist (Hybrid) to support our Virginia patients. This role blends remote work with occasional home visits, focusing on behavioral health care management for a defined caseload. Candidates should have an MSW and behavioral... 
    Remote job
    Full time
    Work from home

    Ennoble Care

    Arlington, VA
    5 days ago
  • $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... 
    Remote work
    Hourly pay
    Full time

    Elevance Health

    Chicago, IL
    2 days ago
  • Atlantic Group is seeking a Geriatric Care Manager (Social Worker) in Queens, NY to support care management and advocacy for older adults. This hybrid role involves home visits and remote work to help seniors access resources and improve quality of life. The ideal candidate... 
    Remote work
    Work from home

    Atlantic Group

    New York, NY
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Grievance & Appeals Manager (Remote/Hybrid). Be the first to apply!