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Veterans Affairs, Veterans Health Administration
Johnson City, Tennessee
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Director of Appeals and Grievances - Health Plan
Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Job Summary This role is responsible for the strategic oversight and operational management of the organization’s member and provider appeals, complaints, and grievance processes across all product lines, including ACA, Commercial, Medicare Advantage, Medicaid, DSNP, and ISNP. This role ensures adherence to all state, federal, CMS, HHS, and quality regulations governing appeals and grievance r
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