Head of Member Appeals & Grievances
Harbor Health Services
Harbor Health in Texas seeks an experienced Appeals & Grievances Director to lead the health plan's appeals and grievances function across Texas markets. You will oversee intake, investigation, and timely resolution of member and provider appeals and grievances, ensuring CMS, TDI, and NCQA compliance. Lead a team and collaborate with Compliance, Legal, Claims, Clinical, and Member Services to advocate for members within Harbor Health's payvider model. #J-18808-Ljbffr Harbor Health Services
Vacancy posted 3 days ago
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