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Lead, Clinical Appeals & Grievances

Job in Hamden, New Haven County, Connecticut, 06517, USA
Listing for: Healthfirst
Full Time position
Listed on 2026-08-04
Job specializations:
  • Management
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 88700 - 149430 USD Yearly USD 88700.00 149430.00 YEAR
Job Description & How to Apply Below

Healthfirst in Connecticut seeks a Manager, Clinical Appeals & Grievances to lead a dynamic team, standardize processes, and ensure compliant operations across appeals and grievances. The role collaborates with organizational leaders to set departmental goals, oversee production teams, and guide case preparation and external appeals.

Ideal candidates bring RN and/or Bachelor's degree, strong management and utilization management experience;
Healthfirst offers comprehensive benefits and growth

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