Grievance and Appeals Manager - Concord California

Company: VirtualVocations
Location: Concord, California
Posted On: 11/08/2024

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 More...

Register an account with us and set up job agents! We'll email you immediately when jobs like this are posted on our site.