Arizona Licensed Grievance Coordinator
Company: VirtualVocations
Location: Miami
Posted on: January 25, 2025
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Job Description:
A company is looking for a Grievance & Appeals Coordinator
II.
Key Responsibilities
Review and process member and provider grievances and appeals in
accordance with regulations and policies
Collaborate with subject matter experts to prepare cases for
medical review and determine potential quality or access issues
Serve as a liaison between members, providers, regulatory agencies,
and internal staff regarding grievance and appeal decisions
Required Qualifications
Bachelor's degree in a related field or equivalent experience
2+ years of claims, contracting, or related experience in a managed
care environment
Knowledge of federal and state regulations related to grievances
and appeals
Experience in preparing cases for medical review
Ability to act as a subject matter expert on grievances and
appeals
Keywords: VirtualVocations, Kendall West , Arizona Licensed Grievance Coordinator, Other , Miami, Florida
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