Clinical Appeals & Grievances Specialist — Remote
Healthfirst
Austin, TX
- Remote job
Healthfirst is seeking an experienced Appeals & Grievances Clinical Specialist to manage a caseload of member and provider cases across NY and FL locations. You will ensure clinical case development, regulatory compliance, and timely resolution of complex appeals. The role requires licensure as RN, LPN or Dental Hygienist, with preferred experience in utilization management or claims processing. Remote or on-site work options are available with periodic travel. #J-18808-Ljbffr Healthfirst
Vacancy posted 19 hours ago
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