Remote Grievances & Appeals Coordinator — Health Plan
Medasource
- Remote job
Medasource is hiring a G&A Coordinator to support a high-volume Grievances & Appeals team in the United States (Arizona residents only). This fully remote role focuses on member and provider appeals, grievances, and claim disputes, requiring 3–4+ years of relevant experience. The position involves resolving complex cases while adhering to regulatory requirements. Ideal candidates should have strong analytical skills and the ability to work in a metrics-driven environment. Extension or conversion opportunities are likely. #J-18808-Ljbffr Medasource
- ...A-Line Staffing is hiring a Grievance & Appeals Coordinator in the Natomas or Woodland Hills, CA area.... ...local to Natomas or Woodland Hills, CA Remote but may need to travel to the... ...Healthcare Regulations – Understanding of health plan compliance, regulatory requirements,...Remote workHealth InsuranceBi-weekly payFull timeContract workWork at officeLocal areaImmediate startMonday to Friday
$20.14 - $29.16 per hour
...Today, SCAN is a nonprofit health organization serving more... ...serve. The Job The GAD Coordinator coordinates the work of a... ...of related experience in Grievances and Appeals for a health plan, healthcare, or managed care... ...Work Mode: Mostly Remote An annual employee bonus...Remote workHealth InsuranceHourly payFull timeFor contractorsWork at office$21 - $25 per hour
...Appeal And Grievance Coordinator One of Airetel Staffing's valued clients is looking for an Appeal and Grievance... ...and the internal appeal process remote M-F (8-hr shift that will start between... ...). At least 1 year of experience in health insurance claims and appeals is...Remote workHealth InsuranceShift 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 jobHealth InsuranceHourly payFull time$22 - $23 per hour
Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity... ...-term potential and is US ( Remote ). Please review the job... ...include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (...Remote workHealth InsuranceContract workWork at officeLocal areaImmediate start- ...Job Description. Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory... ...and applying contract and regulatory provisions. This is a Remote Role Experience; Experience handling a large load of work in...Remote workContract workApprenticeshipLocal area
- Sagility is seeking an Appeals and Grievance Coordinator who will manage and resolve member and provider complaints while adhering to regulatory requirements. This role involves conducting investigations, documenting actions, and ensuring compliance. As a key contact for...Remote jobWork from home
- ...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... .... English/writing field of study, Health Care Administration or related field,...Remote workContract work
- CVS Health Corporation is looking for an Appeal and Grievance Coordinator who will work from home in Kentucky. This full-time role involves handling appeals, complaints, and grievances, ensuring timely responses while collaborating across multiple business units. The ideal...Remote jobFull timeWork 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 jobContract work
- ...Grievance and Appeals Coordinator Join our client's dynamic team as a vital link in their Grievance and Appeals department, where you will play... ...our organization. Ensure our processes align with all Health Plan regulatory agencies. Provide essential administrative...Health InsuranceWork at officeImmediate startWork from home
$23 per hour
A-Line Staffing Solutions is seeking a full-time Grievance & Appeals Coordinator I in the Natomas or Woodland Hills, CA area. In this role, you will coordinate the grievance and appeals process for members, ensuring timely responses in compliance with regulations. The ideal...Remote jobFull time$20.14 - $29.16 per hour
...SCAN GAD Coordinator Founded in 1977 as the Senior... ...SCAN is a nonprofit health organization serving... ...related experience in Grievances and Appeals. ~ High school diploma... ...Work Mode: Mostly Remote Schedule: This position... ...k) Retirement Saving Plan with employer match...Remote workHourly payWork at officeShift work- Mass General Brigham Health Plan Holding Company, Inc. is seeking a Duals Supervisor for Appeals and Grievances to lead a team responsible for overseeing the appeals process. The ideal candidate will have significant experience in healthcare appeals and grievances, regulatory...Remote jobHealth Insurance
- ...Appeal & Grievance Coordinator Reviewer I We are seeking an Appeal & Grievance Coordinator Reviewer I to review and research medical appeals and grievances, analyze claims and medical records, and ensure timely resolution in compliance with HIPAA, CMS, and regulatory...Remote jobWork at office
- A health plan organization in Somerville is seeking a Duals Supervisor for Appeals and Grievances to oversee a team and ensure compliance with operational standards. The ideal candidate... ...collaboration. This role allows for remote work with occasional onsite meetings....Remote jobHealth Insurance
- ...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 workHealth InsuranceTemporary workLocal area
$34.42 - $67.6 per hour
...Join to apply for the Appeals and Letters Coordinator Remote role at Optum 1 day ago Be among the first 2... ...with our team will directly improve health outcomes by connecting people with the... ...with medical directors, Health Plan Manager(s), Inpatient Care Coordinators...Remote workHealth InsuranceHourly payMinimum wageFull timeContract workPart timeWork experience placementWork at officeLocal areaShift workWeekend work- Duals Supervisor, Appeals and Grievances United States, Massachusetts... ...and grievance coordinators and is ultimately responsible... ...new products and plans. The Supervisor... ...Executive Office of Health and Human Services (EOHHS... ...Conditions: This is a remote role with occasional...Remote workHealth InsuranceWork at office
- ...L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider complaints, ensuring compliance with various health regulations, and preparing reports. Requirements include at least 2 years...Remote workHealth InsuranceFull time
$238k - $357.5k
UnitedHealthcare is seeking an Appeals and Grievances Medical Director responsible for clinical review of appeals for various health plans. This role offers flexibility to work remotely from anywhere within the U.S. The qualified candidate will have an MD or DO with an...Remote jobHealth Insurance$248.5k - $373k
Join UnitedHealthcare as an Appeals and Grievances Medical Director, working remotely from anywhere in the U.S. You'll oversee appeals and grievances for various health plan products while collaborating with medical directors. The role requires an MD or DO with board certification...Remote jobHealth Insurance$20 - $30 per hour
...California is seeking a Member Appeals & Grievance Case Manager for a 6+ month... ...long-term potential. This remote position requires expertise... ...in compliance with health plan standards. Ideal candidates... ...experience in Appeals or Care Coordination, with a strong understanding...Remote jobHealth InsuranceHourly payContract work$238k - $357.5k
UnitedHealthcare is seeking an Appeals and Grievances Medical Director to oversee clinical review... ...grievances. This position allows you to work remotely from anywhere in the U.S. and... ...significant responsibilities regarding health plan products. The role requires an MD or...Remote jobHealth Insurance$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing... ...the flexibility to work remotely from anywhere within the U.... ...for various health plan and insurance products, which...Remote workHealth InsuranceMinimum wageWork experience placementLocal areaWork from home- ...Grievances And Appeals Nurse Pride Health is hiring a Grievances and Appeals Nurse for a well-known client! (Remote Contract) Schedule: 5x8s Day shift Contract... ...of Health Plan operations and business... ...activities as required Coordinates investigation and resolution...Remote workHealth InsuranceContract workWork experience placementLocal areaDay shift
$21.3 - $23.96 per hour
...respond to medical, pharmacy and dental grievances, complaints, appeals, and inquiries for the organization... ...regarding claims/policies on Moda Health benefit plans. # Interpret contracts (... ...internet connection required to support remote or hybrid work. Must be comfortable...Remote workHealth InsuranceHourly payFull timeWork at officeWork from homeAfternoon shift$30 - $32 per hour
Immediate need for a talented Grievance and Appeals Coordinator . This is a 6+ months contract opportunity with long-term potential, located in Corona... ...Range $30.00/hr - $32.00/hr Job ID 25-73953 Benefits Health insurance (medical, dental, vision), 401(k), paid sick leave...Health InsuranceContract workImmediate start$20 - $30 per hour
...Case Manager Appeals & Grievances (California) Immediate need... ...located in California (Remote). Pay Range: $20 -... ...are not limited to, health insurance (medical,... ...dental, vision), 401(k) plan, and paid sick leave... ...Investigate, coordinate, and resolve member complaints...Remote workHealth InsuranceContract workLocal areaImmediate start$17 - $25.65 per hour
We're building a world of health around every individual -... ...Research incoming electronic appeals, complaints and grievance to identify if appropriate... .... Research Standard Plan Design or Certification of... ...response. Responsible for coordination of all components of appeals...Health InsuranceHourly payFull timeContract workLive inLocal area
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