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Member Appeals & Grievances Advocate
Job in
Madison, Dane County, Wisconsin, 53774, USA
Listed on 2026-08-01
Listing for:
Medica
Full Time
position Listed on 2026-08-01
Job specializations:
-
Business
Regulatory Compliance Specialist
Job Description & How to Apply Below
Medica in Madison, WI seeks an Appeals & Grievances Specialist to manage member and provider disputes, coordinate investigations, and ensure compliant, timely resolutions.
You will collaborate with clinical teams and operations, analyze trends, prepare regulatory reports, and uphold integrity while delivering fair, patient-centered service. This is an onsite role with a structured schedule and a comprehensive rewards package.
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