Lead Appeals & Grievances Specialist (Medicare/Medicaid)

A leading healthcare provider is seeking an experienced individual to provide lead support for claims activities, including handling member and provider complaints. This role includes managing a team for submitting and resolving appeals, training new employees, and preparing documentation for tracking. Candidates must possess strong managed care experience and be proficient in health claims processing, particularly in Medicaid and Medicare. Strong communication and organizational skills are essential for success in this position. Competitive compensation provided. #J-18808-Ljbffr