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Appeals & Grievances Specialist
DescriptionAs the Appeal & Grievance Specialist, you will be responsible for:Managing the intake and resolution of member and provider appeals and grievances in compliance with CMS (Centers for Medicare & Medicaid Services) regulations for Medicare Advantage plansEnsuring that all cases are processed within mandated timeframes and that clear, timely communication is provided to all stakeholdersWorking closely with medical director and appeal & grievance team to ensure that all cases are handled effectivelyOther duties as assigned Salary Range: $31.45-$43.17/hourly
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