Remote Grievance & Appeals Analyst I
PVH (Tommy Hilfiger/Calvin Klein)
Mason, OH
- Remote job
PVH (Tommy Hilfiger/Calvin Klein) is hiring an entry-level Grievance/Appeals Analyst I for a fully remote role with occasional in-person training. The position supports the Enterprise Grievance & Appeals Department by reviewing, analyzing, and processing non-complex grievances and appeals across various member, provider, and product types. Responsibilities include researching issues, coordinating with nursing/medical staff, ensuring URAC/NCQA alignment, and documenting determinations for #J-18808-Ljbffr PVH (Tommy Hilfiger/Calvin Klein)
Vacancy posted 2 days ago
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