Remote Clinical Appeals Specialist: Case Resolution
Healthfirst
New York, NY
- Remote job
Healthfirst is seeking an A&G Clinical Specialist to manage clinical case development and resolution for member and provider appeals and grievances. The role ensures compliance with Federal and State regulations and handles DOH and executive complaints as needed, with a caseload of complex cases. The position offers flexibility to work remotely or on-site at NYC's 100 Church Street or Lake Mary, FL, with occasional travel for divisional meetings and town halls, as described in the posting. #J-18808-Ljbffr Healthfirst
Vacancy posted 4 days ago
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