
Lead Appeals & Grievances Specialist (Medicare/Medicaid)
Molina Healthcare, Albany, NY, United States
A healthcare organization in New York is seeking a Lead Claims Support Specialist to manage claims activities, resolve member complaints, and oversee appeals. The ideal candidate should have extensive managed care experience, particularly in Medicaid and Medicare claims processing. Responsibilities include training new staff, researching complex issues, and ensuring compliance with regulations. This role offers a competitive hourly pay rate and various employee benefits.
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