Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Grievance & Appeals Specialist

Banner Health

Yuma, AZ
  • Remote job

Banner Plans & Networks in Arizona seeks a Grievance and Appeals Coordinator to manage the intake, review, investigation, and resolution of member grievances, appeals, and provider disputes in a remote setting. Candidates must reside in Arizona; you will document findings, coordinate with internal teams, and prepare professional correspondence while meeting regulatory timelines and providing accurate, timely resolutions. #J-18808-Ljbffr Banner Health

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Remote Grievance & Appeals Specialist in Yuma, AZ vacancy
  • $30.7k - $66.5k

     ...Medicare and Medicaid Services (CMS). Essential Job Duties • Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory... 
    Remote work
    Full time
    Contract work
    Work at office

    Molina Healthcare

    Remote
    10 days ago
  • $38.17k - $66.5k

     ...Medicare and Medicaid Services (CMS). Essential Job Duties • Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or... 
    Remote work
    Full time
    Contract work
    Work at office

    Molina Healthcare

    Remote
    4 days ago
  • $60.78k

     ...Appeals and Grievances Specialist IIJob Category: Customer Service Department: Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type...  ...work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical... 
    Remote work
    Full time
    Local area
    Shift work
    Weekend work

    LOS Angeles Care Health Plan

    Los Angeles, CA
    4 days ago
  • A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching... 
    Remote work

    Health First

    United States
    22 hours ago
  • Banner Plans & Networks is seeking a remote Grievance and Appeals Coordinator to manage intake, review, investigation and resolution of member grievances, appeals and provider disputes. The role demands accuracy, timely communication and cross-functional coordination to... 
    Remote job
    Monday to Friday
    Shift work

    Banner Health

    New York, NY
    3 days ago
  • Banner Health is seeking a Health Plans Grievance and Appeals Coordinator in a remote role. You will manage grievances, appeals, and disputes for members and providers, ensuring timely investigations and communications. The role requires knowledge of AHCCCS, HCG, CMS rules... 
    Remote job

    Banner Health

    Salem, OR
    2 days ago
  • $56.27k - $69.9k

    Pay Plan Title: Appeals or Grievances Specialist II Working Title: Appeals Specialist II FLSA Status: Exempt Posting Salary Range: $56,270 - $69,898 Office Location: Remote within North Carolina POSTING DETAILS: Make an Impact Trillium Health Resources is... 
    Remote work
    Full time
    Work at office
    Local area
    Immediate start
    Work from home
    Flexible hours

    Trillium Health Resources

    North Carolina
    2 days ago
  • AHCCCS in Phoenix seeks an Advocacy Program Specialist to deliver Special Assistance for...  ...and help protect rights while navigating grievance and appeals processes. The role requires travel within the Phoenix area and possible remote work based in the Phoenix Metropolitan... 
    Remote job

    State of Arizona

    Phoenix, AZ
    1 day ago
  • $21.16 - $38.37 per hour

    A healthcare provider is seeking a Medicare Appeals & Grievances Specialist to handle member appeals and grievances. This remote position requires strong experience in managed care, particularly with Medicare regulations. Ideal candidates will have excellent attention... 
    Remote job
    Hourly pay
    Work at office

    Molina Healthcare

    Phoenix, AZ
    5 days ago
  •  ...contract role with a New York health plan. You will own clinical grievances and appeals from intake to final decision letters, applying medical...  ...judgments based on InterQual/MCG criteria. The position is 100% remote in the United States, with business hours and occasional... 
    Remote work
    Contract work
    Afternoon shift

    Phaxis

    New York, NY
    22 hours ago
  •  ...Randstad USA is seeking a Grievance and Appeals Intake Coordinator to join our operations team in a work‑from‑home setting. You will screen executive complaints, member grievances, and provider appeals in the PRIME platform, classify cases, and route them to specialized... 
    Remote work
    Work from home
    Flexible hours
    Weekday work

    Randstad USA

    Saint Louis, MO
    22 hours ago
  • $50k - $60k

     ...funded and fully funded programs, and delivered tangible savings and enhanced experiences for millions of members. The Appeals & Disputes Specialist is responsible for reviewing, investigating, and resolving member appeals and provider disputes for benefit plans,... 
    Remote work
    Full time
    Work at office

    Reflect Health

    Remote
    3 days ago
  • $47.84k - $62.4k

     ...all applications and next steps. Our partner is looking for an Appeals Specialist based in the United States. As an Appeals Specialist, you...  ...program. ~401(k) retirement savings plan. ~ Fully remote working arrangement within the United States. ~ Opportunity... 
    Remote work
    Hourly pay
    Full time

    Jobgether

    Remote
    4 days ago
  • $41.6k - $54.08k

     ...ongoing business needs. Impact you will make The Denials Appeals Specialist is responsible for analyzing, drafting, and submitting high-quality...  ...in a productivity and quality metrics-driven environment Remote work experience in a structured environment Experience... 
    Remote work
    Permanent employment
    Contract work
    For contractors
    Work experience placement

    Aspirion

    Remote
    9 days ago
  • $19.43 - $32.98 per hour

    Centene Management Company LLC in Tempe, AZ is seeking a claims, grievances and appeals specialist to analyze and resolve verbal and written appeals from providers and respond to member grievances. The role requires residency in Arizona, a high school diploma (associate... 
    Hourly pay
    Work at office
    Flexible hours

    Centene Management Company LLC

    Tempe, AZ
    1 day ago
  • SafeRide Health is seeking an experienced Complaints and Grievance Coordinator responsible for processing complaints and grievances, including member grievances, appeals, and provider disputes. The role ensures cases are resolved according to client-specific requirements... 

    Saferide Health, Inc.

    New York, NY
    1 day ago
  • Centene is hiring an in-office Grievances and Appeals Specialist in Tempe, AZ to analyze and resolve verbal and written claims and authorization appeals from providers and members. The role requires full-time availability and residence in Arizona. You will gather and report... 
    Full time
    Work at office

    Arizona Complete Health

    Tempe, AZ
    1 day ago
  • CVS Health in Columbus, OH is hiring for a full-time Intake Analyst responsible for reviewing, researching, and entering grievance and appeal cases within one business day. You will monitor multiple intake sources and prioritize requests to meet state and plan requirements... 
    Full time

    CVS Health

    Columbus, OH
    2 days ago
  • CVS Health in Ohio seeks a specialist to handle intake, investigation and resolution of appeals, complaints and grievances across multiple products. You will coordinate responses from multiple business units and ensure timely, customer-focused communication to members and... 

    CVS Health

    Columbus, OH
    2 days ago
  • CVS Health is seeking a detail-oriented professional to manage intake, investigation, and resolution of appeals, complaints, and grievances across products. You will coordinate responses from multiple units and ensure timely, customer-focused resolutions. The role requires... 

    CVS Health

    Brooklyn, NY
    2 days ago
  • Centene in Tempe, AZ is hiring for a full-time position focused on analyzing and resolving verbal and written claims, appeals, and grievances from providers and members. The role requires in-office presence in Tempe, with mailroom activities and related duties. Responsibilities... 
    Full time
    Work at office

    Arizona Complete Health

    Phoenix, AZ
    1 day ago
  • $56.2k - $101k

     ...Position Purpose: Supervise the day to day operations of the Appeals and Grievance (A&G) staff and functions within the department ensuring...  ...and distribute case load. Key Details : This position is remote/work from home. The role will support the states of Delaware... 
    Remote work
    Full time
    Part time
    Work at office
    Work from home
    Monday to Friday
    Flexible hours
    Weekend work

    Centene Corporation

    Florida
    3 days ago
  • CVS Health is seeking a detail-oriented professional to manage intake, investigation and resolution of appeals, complaints, and grievances across products. You will coordinate responses from multiple teams, identify trends, and propose solutions while ensuring timely, customer... 

    CVS Health

    Baton Rouge, LA
    2 days ago
  • MJHS in New York, NY seeks an A&G Coordinator to investigate and respond to member and provider appeals and grievances under CMS and DOH rules. In a non-clinical role, you will help ensure timely decisions and accurate documentation. You will determine the appropriate... 

    MJHS

    New York, NY
    3 days ago
  • Centene Corp. in Tempe, AZ is seeking a full-time Grievance and Appeals Analyst to analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. The role requires being in-office at our Tempe... 
    Full time
    Work at office

    Centene Corp.

    Tempe, AZ
    4 days ago
  • $246.1k - $344.2k

     ...and reviews of medical records for appeals decisions. The Corporate Medical Director...  ...or oversee clinical reviews of grievance and appeal cases for assigned...  ...Neurology, and General Surgery clinical specialists Work Style: Fully remote living in the contiguous USA.... 
    Remote work
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Monday to Friday
    Weekend work

    Humana

    Remote
    2 days ago
  •  ...Leveraging expertise in claims adjudication and risk management, the full-time remote Appeals Specialist will guide clients through the appeals process, ensuring compliance and fair decisions while collaborating with internal teams and mentoring staff. Key responsibilities... 
    Remote work
    Full time
    Contract work

    Virtual Vocations Inc

    United States
    3 days ago
  •  ...Job Title Appeals Specialist II - J00909 Address TX Job Description Manage and process appeals related to healthcare or insurance claims efficiently...  ...and outcomes in the system. _***Critical Information***_ Remote work available. Shift and hours to be confirmed; compliance... 
    Remote work
    Full time
    Shift work

    A-Line Staffing Solutions

    Texas City, TX
    2 days ago
  • $29.7 - $31.8 per hour

    ## Acute Coding Appeals SpecialistApply: Remote - Nationwide: Full time: Posted Today: R052289**Thank you for considering a career at Ensemble!*...  ...70 - $31.80 based on experienceThe Acute Coding Appeals Specialist integrates medical coding principles and objectivity in... 
    Remote work
    Full time
    Temporary work
    Work at office
    Local area

    Ensemble Health Partners

    Eastern, KY
    3 days ago
  • CERiS, a division of CorVel Corporation, is seeking an Appeals Representative to handle provider inquiries and appeals via email, fax, telephone, or written correspondence. This is a remote role with strong emphasis on accuracy and timely processing in a compliant environment... 
    Remote job
    Work from home

    CorVel Brand

    Fort Worth, TX
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Grievance & Appeals Specialist. Be the first to apply!