Team Lead (Part C)

Team Lead (Part C)

Job Category: Administrative Support Requisition Number: TEAML001425

Posted: June 11, 2026

Full-Time

Remote, Anywhere USA

Description

Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.

This position is located Remote United States

This position requires working weekends, and rotating holidays as needed

Please note the start date is on or after July 6, 2026

Position Purpose:

Provides subject matter expertise to staff and decision makers through technical support and one-on-one training

Essential Responsibilities:

• Serves as a lead staff member and subject matter expert for Appeals Specialists, Clerks, Dispute Resolution Analyst, Intake Specialists, LEP Analysts, and/or Reconsideration Analyst.
• Uses subject-matter knowledge and judgment related to contract processes to carry out automated tasks or reopening case file requests.
• Assists with questions related to the contract or project. This may include, but is not limited to, corrections and detailed explanations as to how to properly comply with Centers for Medicare & Medicaid Services (CMS) guidelines.
• Assists in ensuring the staff or department is meeting goals in support of the contract and company policies.
• Assists in facilitating meetings, including staff meetings to discuss quality measures and provide training.

Minimum Qualifications

Education:

• High School diploma or equivalent

Experience:

• Three (3) years general office experience. College education or technical training in administration, business, or related areas may be substituted for experience on a year per year basis. (Education requirements may be satisfied by full-time education or the prorated part-time equivalent.)
• One (1) year Mailroom, Medicare appeals, Managed Care appeals, Healthcare or Health Insurance industry
• Medicare Part C related appeals activities, preferred
• Quality Letter System (QLS), preferred
• Medicare Appeal System (MAS), preferred

Benefits:

• Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
• Section 125 plan
• 401K
• Competitive salary
• License/credentials reimbursement
• Tuition Reimbursement

EOE Vet/Disability

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.