Hybrid Remote: Appeals & Grievances Specialist II

An established industry player is seeking a Customer Solution Center Appeals and Grievances Specialist II to join their team. This role involves investigating and resolving member and provider complaints while ensuring compliance with various regulatory standards. The ideal candidate will have a strong background in Managed Care, excellent organizational skills, and the ability to exercise independent judgment. The position offers a dynamic work environment where you can make a significant impact on the quality of health care services provided to vulnerable communities. Join a mission-driven organization dedicated to improving health outcomes for those in need. #J-18808-Ljbffr