Remote Clinical Appeals Specialist
Health First
Healthfirst is seeking an Appeals & Grievances Clinical Specialist to lead clinical case development and resolution while ensuring compliance with federal and state regulations. You will manage your own caseload, prepare cases for Medical Director Review and external appeals, and handle DOH complaints as needed.The role supports both remote and on-site work at designated locations, with travel as required for divisional meetings. Bachelor's degree and clinical licensing are preferred.J-18808-Ljbffr
Vacancy posted 2 days ago
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