Grievance Coordinator - Medicare (remote MA only)
$20 per hourProPivotal
We’re seeking a highly organized and articulate professional to join a healthcare team as a Grievance Coordinator. This role focuses on responding to member concerns related to Medicare Advantage plans, balancing accurate documentation with clear, compassionate communication. You’ll handle sensitive issues and ensure timely, compliant resolutions, making a real difference in members’ experiences. Some need‑to‑know information Remote but with on‑site Training in Hingham, MA Per company policy, only candidates currently living in Massachusetts will be considered Equipment Provided Pay: $20/hour, Paid Training Included Schedule: 8am-4pm M-F Responsibilities Respond to member complaints and concerns with professionalism and empathy Document each interaction clearly in a case management system Investigate issues thoroughly and coordinate with internal teams to ensure accurate follow‑up Communicate decisions and outcomes via both phone and written correspondence Meet required timelines for case resolution in a highly regulated environment Requirements At least one year of experience in a role requiring thoughtful resolution of customer concerns Excellent communication skills written, verbal, and interpersonal Confidence using tools like Microsoft Office and internal database A wired internet connection and quiet workspace for remote work #J-18808-Ljbffr
$20 per hour
...highly organized professional for the Grievance Coordinator role. This position primarily involves responding to member concerns about Medicare Advantage plans while ensuring accurate... ...compassionate communication. The role offers remote work with required on-site training in...Remote work- ...Position Grievance and Appeals Coordinator Position Description Join our clients dynamic team as a vital link in thier Grievance... .../Customer Service environment, with prior Medi-Cal and Medicare experience preferred. High school diploma or GED required...Remote workWork at officeImmediate startWork from home
- A staffing solutions company is seeking a Grievance & Appeals Coordinator for a fully remote position in Detroit, MI. This role involves processing appeals, grievances, and inquiries while maintaining accurate documentation and effective communication. The ideal candidate...Remote workContract work
$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 workHourly payFull time- ...Job Overview Akkodis is partnering with a local Health Plan who is hiring a Grievance Coordinator for a temporary 3-month contract. Terms ~ Temporary 3-month contract ~ Remote (must pick up equipment) ~$28/hr W2 Qualifications ~3+ years’ experience as...Remote workTemporary workLocal area
$18.5 per hour
...Location: Miami, FL Schedule: Hybrid – 3 Days In Office / 2 Days Remote Pay Rate: $18.50 per hour SUMMARY The Grievance Coordinator is responsible for timely intake, processing, researching, documenting and responding to grievances referred to Alivi...Remote workHourly payWork at officeImmediate start- ...HPSM Grievance and Appeals Processor Implement HPSM's Grievance and Appeals processes by resolving complaints filed by HPSM members... ...preferred. Two (2) years of experience working with Medi-Cal or Medicare in a managed care environment preferred. Work performing...Remote workWork at officeLocal area
- ...Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator, a W2 contract engagement with one of our largest clients in Detroit, MI! REMOTE!! Title: Grievance & Appeals Coordinator Location : Detroit, MI (Fully Remote) Duration:...Remote workContract work
- ...the questions involves typing speed.) Remote M-F (8-hr shift that will start between... ...agencies' standards, including the Center for Medicare and Medicaid Services (CMS) and National... ...researches and correctly classifies all grievance and appeals cases. This includes any...Remote workShift work
$21.78 - $31.52 per hour
...for older adults. Our work spans Medicare Advantage, fully integrated care... ...communities we serve. The Job The Grievances and Appeals Senior Coordinator will provide support to grievance... ...Sr Work Mode: Mostly Remote An annual employee bonus program...Remote workHourly payFor contractorsWork at office- ...Job Title: Grievance and Appeals Coordinator About Kyyba: Founded in 1998 and headquartered in Farmington... ...Coordinator Location: 100% Remote Duration: 12 Months (possible extension... ...have computer skills! • Insurance, Medicare/CMS knowledge • Customer Service...Remote workContract workVisa sponsorshipWork visa
$60k - $65.5k
...Member Appeal & Grievance Coordinator - Flex schedule after 30 days Location US-MA-Worcester Job ID 8317 # Positions 1 Category... ...sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive...Work experience placementWork at officeLocal areaFlexible hoursWeekend work2 days per week$22 - $23 per hour
Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity with long-term potential and is US ( Remote ). Please review the job description below and contact... ...requirements Familiarity with Medicare or Medicaid guidelines Strong...Remote workContract workWork at officeLocal areaImmediate start$27.55 - $34.42 per hour
We are looking for a Rebate Processing Coordinator to join our Energy Efficiency Programs Team... ...hybrid setting based out of our Boston, MA or New York, NY office, with an expectation... ...and regulations. Office Locations and Remote Workforce Energy Solutions operates as a...Remote workHourly payWork experience placement1 day per week- ...this position investigates and finds resolution of complaints, grievances and member appeals based upon specific regulatory... ...and preparation of State Fair Hearing/IRO packets as well as coordination and participation in State Fair Hearings. Essential...Remote workContract work
$18 - $21 per hour
...Reimbursement Coordinator I, Medicare The Reimbursement Coordinator I, Medicare is responsible for... ...This position is eligible for 100% remote but the employee must reside in a state... ...CO, CT, FL, GA, ID, IL, IN, KS, KY, LA, MA, MD, MO, MS, MT, NC, NM, NV, OH, OK, OR...Remote work- ...Appeals & Grievances Coordinator nirvanaHealth is rebuilding the payer enterprise on a digital workforce. Our cloud-native Aria platform... ...currently consume payer operating margin. We operate across Medicare Advantage, Medicaid, Commercial, ASO, and ACA lines of business...
- Mass General Brigham Health Plan Holding Company, Inc. is looking for a Duals Supervisor for Appeals and Grievances in Somerville, MA. The ideal candidate will supervise a small team while ensuring compliance with insurance and health regulations. Responsibilities include...Remote job
$45k - $60k
...Location: This position is primarily remote. Candidates must have an appropriate home... ...Job Summary : The LTSS Transition Coordinator supports the LTSS Coordinator (or contracted... ...participate in appear or fair hearings, member grievances, appeals and state audits. Job...Remote workTemporary workWork at officeWork from home- ...Authorization & Eligibility Coordinator Remote U.S. (designated states) This position is fully remote and may be performed from one of the following U.S. states: AL, AZ, FL, GA, IN, KS, MA, MI, MS, NC, NV, OR, PA, SC, TN, TX. The Authorization & Eligibility Coordinator...Remote workWork experience placementLocal areaWork from homeFlexible hours
- ...JAK Travel Agency is seeking a remote Client Experience Specialist to enhance client support... ...welcomes individuals from the Boston, MA area and offers necessary training. Responsibilities... ...include managing client interactions, coordinating schedules, and maintaining client records...Remote work
$60k - $75k
...non-profit organization for clean energy is seeking a Program Coordinator to support workforce development initiatives in the clean energy... ...management skills. This is a full-time telework position in Boston, MA, with a salary range of $60,000 to $75,000. #J-18808-Ljbffr...Remote workFull time$19.27 - $28.91 per hour
...belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers,... ...and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health...Remote workHourly payWork at officeWork from home$22 per hour
...We are seeking an Appeals & Grievances Coordinator to join The Hollister Group, a leading women-owned staffing firm in the Boston area. This role is remote with a compensation of $22/hr . Responsibilities: # Coordinate appeals and grievances activities # Track...Remote workContract work$26.54 - $39.81 per hour
...flexible/ hybrid work schedule includes 3 in-person days at one of our core locations and 2 remote days. Our core office locations include Salisbury, NC , Chicago, IL, Quincy, MA, Carlisle, PA, Scarborough, ME, Hyattsville, MD and Mauldin, SC. Responsibilities Perform...Remote workWork at officeFlexible hours$18 - $22 per hour
...Care. Key Responsibilities The Triage Coordinator is responsible for the coordination of... ...skills Desired Qualifications CNA or MA certification preferred Experience... ...4 p.m. to 5 p.m. or 5 p.m. to 6 p.m. Remote: 5 p.m. to 10 p.m. or 6 p.m. to 10 p.m....Remote workTemporary workWork at officeHome office3 days per week$18 - $20 per hour
...culture. What You'll Be Doing: The Coordinator, Intake Utilization Management at... ...health care experience in claims or appeal & grievance. Required ~ Previous background/... ...workload and prioritizing assignments in a remote environment. - Required To ensure...Remote workImmediate start$23.58 - $35.37 per hour
...Technology and more. Overview This position coordinates and implements meetings, events and... ...person days at one of our core locations and 2 remote days. Our core office locations include Salisbury, NC , Chicago, IL, Quincy, MA, Carlisle, PA, Scarborough, ME, Hyattsville...Remote workContract workWork at officeFlexible hours$43k - $45k
...Network Coordinator Job Location: Division of Developmental Disabilities (DDD), 400 West Congress... ...with state and federal guidelines. Remote work may be available within Arizona based... ...the Customer Service Center to resolve grievances and manage reporting. Work with internal...Remote workTemporary workWork from home- ...New England Donor Services (NEDS) coordinates organ and tissue donation in Connecticut,... ...scheduling model Shifts in person and remote in our fully hybrid staffing model Ability... ...home office setting and onsite in Waltham, MA - remote opportunities are available once...Remote workTemporary workWork at officeWork from homeHome officeAll shiftsShift workNight shiftDay shift
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