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Lead Appeals & Grievances Specialist (Medicare/Medicaid)

Molina Healthcare, Lincoln, NE, United States


A healthcare organization in Lincoln, Nebraska, is seeking a support lead for claims activities. The role involves managing member and provider complaints while ensuring compliance with CMS guidelines. Key responsibilities include leading the appeals process, training staff, and resolving complex issues. Candidates should have at least 3 years of experience in managed care and strong communication skills. The position offers a competitive hourly wage ranging from $21.65 to $46.42, based on experience and location. #J-18808-Ljbffr