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Head of Member Appeals & Grievances
Job in
Austin, Travis County, Texas, 78716, USA
Listed on 2026-08-13
Listing for:
Harbor Health
Full Time
position Listed on 2026-08-13
Job specializations:
-
Healthcare
Healthcare Management -
Management
Healthcare Management
Job Description & How to Apply Below
Harbor Health in Texas seeks an experienced Appeals & Grievances Director to lead the health plan's appeals and grievances function across Texas markets. You will oversee intake, investigation, and timely resolution of member and provider appeals and grievances, ensuring CMS, TDI, and NCQA compliance.
Lead a team and collaborate with Compliance, Legal, Claims, Clinical, and Member Services to advocate for members within Harbor Health's payvider model.
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