Grievance and Appeals Manager

Company: VirtualVocations
Location: Concord
Posted on: November 7, 2024

Job Description:

A company is looking for a Grievance and Appeals Manager to manage client denials and concerns.

Key Responsibilities

Conduct comprehensive analytic reviews of clinical documentation to determine grievances and appeals
Lead a team of associates handling member inquiries and resolving issues
Collaborate cross-departmentally and manage departmental projects and initiatives

Required Qualifications

6 or more years of customer service experience
2 or more years of experience leading an operational team with direct reports
Experience in the healthcare industry or medical field
Strong data entry skills and advanced experience with Microsoft Word and Excel
Experience handling multiple projects and maintaining confidentiality

Keywords: VirtualVocations, Tracy , Grievance and Appeals Manager, Executive , Concord, California

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