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Senior Manager, Clinical Appeals & Grievances Operations Lead

Healthfirst

Healthfirst is seeking a Senior Manager, Clinical Appeals & Grievances in the New York area. The role leads daily operations, partners with cross‑functional leaders, and drives continuous improvement in clinical appeals and grievances processing to ensure timely, compliant outcomes. The position requires RN or LPN licensure, a bachelor’s degree or equivalent experience, and experience with utilization management or appeals. Strong leadership and vendor management capabilities are essential. #J-18808-Ljbffr

Vacancy posted 4 days ago
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