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
$22.49 per hour
As a Grievance and Appeals Coordinator, you will spend your day acknowledging and resolving member appeals within strict regulatory... ...to complex issues impacting member care and health plan operations. Participate actively in a remote, collaborative environment (Note: Cameras...Remote workHealth InsuranceHourly payPermanent employmentTemporary workWork experience placementShift work- ...back. When you work at OpTech, not only do you get health and dental benefits on the first day of employment... ...We have a top client who is looking to hire a Grievance & Appeals Coordinator. This is a 100% Remote Opportunity!! Must be able to work EST schedule...Remote workHealth InsuranceFlexible hours
$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$23 per hour
...Job Description Job Description Title: Appeals and Grievances Coordinator Location: Remote, California – Must Reside Within Commuting Distance of... ...preferred. Knowledge of healthcare regulations, health plan compliance, or regulatory requirements. Experience...Remote workHealth InsuranceFull timeContract workTemporary workCasual workMonday to Friday- Point32Health is seeking an Appeals and Grievance Coordinator to support the A&G Analyst by handling mail, organizing cases, and ensuring timely processing... ...and federal regulations. The role requires 1-2 years in health care customer service and 1-2 years in appeals and...Remote job
$21.32 - $31.98 per hour
...2Health is a leading not-for-profit health and well-being organization dedicated... ...Health Care and Tufts Health Plan to provide access to care and empower... ...are at Point32Health. Job Summary The Appeals and Grievance (A&G) Coordinator is responsible, per State and Federal...Health InsuranceWork at officeWork from homeFlexible hoursAfternoon shift- ...Job Description Job Description Job Title: Grievance & Appeals Coordinator I Location: Remote in Indiana (**MUST be a resident of Indiana) Pay: $22 hourly - *weekly pay Position Purpose: Analyze and resolve verbal and written claims and authorization appeals...Remote workHourly payWeekly pay
- ...Appeals Coordinator At Lucet, we're transforming whole-person care. We deliver... ...behavioral and physical health solutions that connect... ...members, providers, health plans, and internal stakeholders,... ...between multiple residences or remote work locations is not supported...Remote workHealth InsuranceWork at officeLocal areaWork from homeHome office
- 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 a Service Representative...Remote workHealth InsuranceTemporary workLocal area
- ...Group company, is seeking a Medical Director to lead appeals and grievances clinical review for multiple health plans. The role involves adjudication of cases,... ...experience in clinical practice and quality management. Remote work options within the U.S. are available. #J-1...Remote jobHealth Insurance
- ...Job Title Job Description Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established... ...applying contract and regulatory provisions. This is a Remote Role Experience Experience handling a large load of...Remote workContract workApprenticeshipLocal area
$83.1k - $120.36k
Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst... .... Manages all Department of Health (DOH) and executive complaints... .... This is either a remote or on-site position located... ...understand HF’s internal health plans policies and procedures to frame...Remote workHealth InsuranceContract workTemporary workWork experience placementLocal area$60.78k
...Appeals And Grievances Specialist II Job Category: Customer Service Department: Appeals & Grievances... ...(Max.) Established in 1997, L.A. Care Health Plan is an independent public agency... ...hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours...Remote workHealth InsuranceFull timeLocal areaShift workWeekend work- ...Working remotely in a full-time capacity, the Appeals Coordinator will manage the tracking and trending of grievances, appeals, and complaints within the Member Services Department, acting... ...of MediCal and Medicare Managed Care Plans Ability to type 40+ words per minute...Remote workFull timeWork at office
$102.18k
...Lead Appeals And Grievances RN Salary Range: $102,183.00 (Min.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California... ...on weekends, holidays, a hybrid remote schedule, and occasional...Remote workHealth InsuranceShift workWeekend work- ...is to help clients exceed their financial health goals. Across the reimbursement cycle,... ...immediate Leadership Team Member.This is a REMOTE position within the US only. **About this position:** **Title:** Coordinator, P2P Appeals**Location:** Remote (Within US Only)**Required...Remote workHealth InsuranceHourly payWork at officeImmediate startMonday to Friday
$22 per hour
We are seeking an Appeals & Grievances Coordinator to join The Hollister Group, a leading women-owned staffing... ...in the Boston area. This role is remote with a compensation of $22/hr . Responsibilities... ...and Administrative Industries: Health and Human Services and Hospitals #J-...Remote workContract work$21 - $22 per hour
..., quick response. Medicare Advantage Grievance Coordinator - Hingham, MA ProPivotal is building candidate... ...handling Medicare grievances, appeals, or member complaints -- this is a strong... ...complaints in a managed care or health plan setting Working knowledge of CMS guidelines...Health InsuranceWeekly pay- ...authorizations and reviewing notes -Reviewing appeal letters to determine what the provider is... ...appeal process Skills: ~ Appeals& Grievance, Medicaid, Medicare Education/... ...Experience: At least 1 year of experience in health insurance claims and appeals is strongly...Remote jobHealth Insurance
$28 - $34 per hour
...patients in Southern California, with plans to expand into new markets across... ...our team. Position Summary The Grievance Coordinator is responsible for the management... ..., and resolution of all health plan grievances, complaints, appeals support, and regulatory inquiries...Health InsuranceHourly pay- ...providers, pulls case files, meets with Grievance & Appeals Manager for further review and action,... ...attend State Fair Hearings. \n # Coordinates and assists the Grievance & Appeals Manager... .... Two years of work experience in a health care related field or experience...Work experience placement
$81.1k - $116.48k
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote Join to apply for the Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist... ...handling complaints from the Department of Health and external parties. The specialist may...Remote jobHealth InsuranceFull timeMonday to FridayShift work- ...members seeking resolution through the grievance and appeals process. KEY RESPONSIBILITIES:... ...at each level of the appeal process. Coordinates with the Claims, Pharmacy helpdesk and... ...environment required. Successful completion of Health Care Sanctions background check....
- ProPivotal in Hingham, MA is seeking a Medicare Advantage Grievance Coordinator. This on-site role involves processing grievances, appeals, or member complaints within a structured, compliant environment. You will work under CMS guidelines, maintain precise case notes,...Hourly payWeekly pay
$20 per hour
...Remote Coverage Determination Specialist (PBM / Health Plan) — Work From Home (U.S.) Location:Remote / Work From Home (United States) Schedule:Full-time, 40 hours... ...D, prior authorization, pharmacy benefits, or appeals/grievancespreferred Strong data entry, attention to...Remote workHealth InsuranceFull timeWork experience placementImmediate startWork from homeMonday to Friday- ...Remote Appeals Pharmacist – Fair Medication Access Work From Home | Strong Clinical Writing... ...for medication coverage appeals and grievances. Apply plan policies, evidence-based guidelines,... ...healthcare partner working with health plans and managed-care organizations...Remote workHealth InsuranceWork from home
$123.37k - $161.93k
...hiring an Associate Director, Appeals & Grievances to join our team. Oscar is the first health insurance company built around... .... Work Location: This is a remote position, open to candidates who... ...time, paid parental leave, 401(k) plan participation, life and...Remote workHealth InsuranceFull timeWork from homeHome office- ...caseload and monitors day to day compliance of appeal decision time frames. Reviews clinical... ...department flows and implementations. Coordinates and distributes first, second and third... ...interactions and detailed review of health related materials. Strong interpersonal...Remote workWork experience placement
- Point32Health, Inc. is seeking an Appeals and Grievance Coordinator to manage day-to-day tasks within the A&G department. You will process mail, assign cases, and support analysts while ensuring compliance with regulatory timelines. The role requires 1-2 years of relevant...Remote jobWork from home
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