Remote Grievances & Appeals Coordinator (Part C/D Intake)
SCAN
SCAN is seeking a GAD Coordinator to coordinate a team of Member Services Representatives providing member and related services. The role focuses on Intake for Part C and D Pre-Service Appeals, with a Monday–Friday 8:30am–5:30pm Pacific Time schedule.
Responsibilities include handling inquiries, verifying membership, maintaining records, and suggesting program improvements. This is a remote position with strong benefits and growth opportunities within a values-driven nonprofit health
#J-18808-Ljbffr- ...SCAN Health Plan seeks a Grievances and Appeals (GAD) Coordinator to manage a team delivering member services with a focus on intake for Part C and D pre-service appeals. The position is remote in the United States and follows Pacific Time hours, Monday through Friday...Remote workMonday to Friday
$41.89k - $60.65k
...The Job The GAD Coordinator coordinates the work of... ...role will be focused on Intake for Part C and D Pre-Service Appeals . Note: This position... ...of related experience in Grievances and Appeals. ~ High school... ...Work Mode: Remote Schedule: This position...Remote workHourly payFull timeFor contractorsWork at officeMonday to Friday$39.75k - $62.8k
...Technician required. The Appeals and Grievances (A&G) team is... ...including—but not limited to—intake, processing,... ...Appeals and Grievances Coordinator I serves as a key member... ...moving mechanical parts, high, precarious places... ...location (or from a remote location with...Remote workFull timeLocal areaMonday to FridayFlexible hoursNight shift$20.19 - $28.13 per hour
.... Job Summary: The Member Appeals and Grievances (A&G) Coordinator performs administrative functions... ...for identification, intake, and distribution of... ...Investment in You: Full-time remote work Competitive salaries... ...the A&G Management team as part of the internal auditing and...Remote workFull timeWork at officeFlexible hoursWeekend workAfternoon shift$48.32k - $82.39k
...written claims and authorization grievance/appeals from providers and members. Resolve... ...Centene Pharmacy Services is hiring a remote Grievance & Appeals Coordinator II. The ideal candidate will have... ...by law, including full-time or part-time status. Total compensation may...Remote workHourly payFull timePart timeWork at officeFlexible hours- Banner Health is seeking a Health Plans Grievance and Appeals Coordinator to manage intake, review, and resolution of grievances, appeals, and provider disputes... ...to navigate multiple systems efficiently. Primarily remote, candidates must reside in Arizona to be considered....Remote job
- ...Solutions is currently looking for a Grievance & Appeals Coordinator, a W2 contract engagement with one of our largest clients in Detroit, MI! REMOTE!! Title: Grievance & Appeals Coordinator... ...work effectively with management and part of a team to meet targets High regard...Remote workContract work
$19.43 - $32.98 per hour
...claims and authorization appeals from providers and... ...resolution of formal grievances from members. Key Details... ...and grievances. May coordinate the Grievance and Appeals... ...approach to work with remote, hybrid, field or... ...including full-time or part-time status. Total compensation...Remote workHourly payFull timePart timeWork at officeFlexible hours$19.43 - $32.98 per hour
...claims and authorization appeals from providers and... ...resolution of formal grievances from members. Position... ...appeals and grievances May coordinate the Grievance and... ...approach to work with remote, hybrid, field or office... ...full-time or part-time status. Total compensation...Remote workHourly payFull timePart timeWork at officeFlexible hours$20 per hour
...Job Description Job Description Job Title: Appeals Intake Coordinator Job ID:26-05225 Location: Remote Duration: 06 months' contract Must Have... ...incoming member and provider Medicare appeals and grievances. This team member will screen incoming...Remote workHourly payContract workWork at office$21.43 - $32.15 per hour
...innovation to employment settings by including remote and hybrid opportunities. As a Health Plans Grievance and Appeals Coordinator, you will play a critical role within Banner Plans & Networks, ensuring the timely intake, review, investigation, and resolution of grievances...Remote workDaily paidWork experience placementWork at officeMonday to FridayFlexible hoursShift work- A staffing solutions company is seeking a Grievance & Appeals Coordinator for a fully remote position in Detroit, MI. This role involves processing appeals, grievances, and inquiries while maintaining accurate documentation and effective communication. The ideal candidate...Remote jobContract work
$23.22 - $34.84 per hour
A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high...Remote jobHourly payFull time$22 - $23 per hour
Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity with long-term potential and is US ( Remote ). Please review the job description below and contact me ASAP if you are interested. Job Diva ID: 26-07046 Pay Range: $22.00 -...Remote workContract workWork at officeLocal areaImmediate start- ...Description Job Description Position Grievance and Appeals Coordinator Hybrid Role In office Tuesday - Thursday | Remote M&F (8am - 5pm) Position Description... ...grievances efficiently. When handling case intakes, ensure: Proper assignment of new cases...Remote workWork at officeImmediate start
- ...Job Description Schedule: Hybrid | Remote on Mondays and Fridays; onsite Tuesday... ...: Impresiv Health is seeking a Grievance and Appeals Coordinator to support the administrative functions... ...and provider grievances. Review and intake new cases when assigned and route...Remote workWork at officeImmediate startMonday to Friday
$56.2k - $101k
...Supervise the day to day operations of the Appeals and Grievance (A&G) staff and functions within the... .... Key Details : This position is remote/work from home. The role will support the... ...by law, including full-time or part-time status. Total compensation may also...Remote workFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursWeekend work$35.8k - $45.76k
...expertise is the foundation for every part of Paradigm’s business: risk-based... .... Paradigm is seeking a Senior Intake Coordinator for a full-time, remote position. As a Senior Intake... ...Support savings calculations, appeals, and reconsideration processes....Remote workFull timeContract workPart timeFor contractorsLive inWork at officeLocal areaFlexible hours$18 - $20 per hour
A-Line Remote Appeals Coordinator {177541} Location: Remote Pay: $18.00- $20.00 per hour (Scheduled Pay... ...: Full Time Job Summary The Appeals Intake Coordinator supports the processing... ...Medicare member and provider appeals and grievances. This role screens and triages...Remote jobHourly payFull timeTemporary work- ...medication needs, we'd love to hear from you! Position: Intake Coordinator Location: Remote Job Id: 241 # of Openings: 1 Intake Specialist - Home Infusion... ...to work independently while functioning effectively as part of a multidisciplinary team. High level of...Remote workFull timeWork from home
- CVS Health in Columbus, OH is seeking a detail-oriented Appeals Specialist to oversee intake, investigation and resolution of appeals, complaints and grievances across products. You will coordinate responses from multiple units, ensure timely, customer-focused communication...
$17 - $25.65 per hour
Position Summary Responsible for intake, investigation and resolution of appeals, complaints and grievances scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused...Hourly payFull timeContract workLive inLocal area$20 - $25 per hour
...we support. The primary responsibilities of a Medicare Appeals and Grievances Coordinator are centered on daily resolution of Medicare member, member... ...state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your...Hourly payTemporary workPart timeWork experience placementInternshipSeasonal workFlexible hoursWeekend work- MJHS seeks an Appeals & Grievances Coordinator to manage non-clinical aspects of member and provider appeals and grievances, ensuring accurate intake, validation, and timely processing in compliance with CMS, DOH, and Elderplan policies. The role includes case setup, triage...
- ...Commercial, ASO, and ACA lines of business. As an Appeals & Grievances (A&G) Coordinator, you will help support the intake, review, and resolution of member and provider... ..., and resolve member and provider appeals (Part C and Part D) and grievances submitted via phone...
- ...Job DescriptionJob DescriptionIntake Coordinator - Remote/Michigan Residents PreferredAre you someone... ...for a dedicated and compassionate Intake Coordinator to join our growing healthcare... ...healthcare team. In this role, you’ll be a key part of the patient journey—ensuring a...Remote workWork at office
- Phaxis is seeking an experienced RN to own grievance and appeals cases from intake to final decision in a fully remote setting. You will handle outpatient and community-based... ...in RN grievance/appeals, familiarity with CMS Part C and NY Medicaid/MLTC, and strong clinical...Remote job
- ...Legal Intake CoordinatorJoin Hire Hangar and work with fast-growing... ...process-driven Legal Intake Coordinator to serve as the first point... ...volume pipelineMust have prior remote work experience, be fluent... ...application form in full. As part of the application process, you...Remote workFull timeWork experience placement
$25 per hour
...poster from Yoh, A Day & Zimmermann Company Intake Coordinator needed for a contract opportunity with... ...s InIt For You? We welcome you to be a part of the largest global staffing... ...Executive and Event Operations Assistant - Remote Work Executive and Event Operations Assistant...Remote workContract workTemporary workWork from homeMonday to Friday$20 - $21 per hour
...predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a... ...patients. Job Description The intake coordinator reviews and approves routine referrals... ...value transparency and collaboration as part of our commitment to excellence. As your...Remote workBi-weekly payHourly payFull timeTemporary workFor contractorsLocal areaWork from home
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