Medicare/Medicaid Grievances & Appeals Specialist
Nhpri
A healthcare organization in Rhode Island is seeking a Grievance and Appeals Specialist to manage member and provider grievances, complaints, and appeals across all product lines. The role involves ensuring compliance with regulatory standards and maintaining documentation for audits. Ideal candidates will have an Associate’s degree, 4+ years in managed care or health insurance, and strong analytical and communication skills. Proficiency in Microsoft Office and knowledge of medical terminology are essential. This position requires strong organizational skills and the ability to collaborate across departments. #J-18808-Ljbffr Nhpri
Vacancy posted 4 days ago
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