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RN Lead: Medicare Appeals & Grievances

Job in Oakland, Alameda County, California, 94616, USA
Listing for: Blue Shield of CA
Full Time position
Listed on 2026-03-01
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
A healthcare insurance provider based in California is seeking a Medicare Appeals and Grievances RN Lead. In this role, you will lead a nursing team in reviewing member appeals related to claims denials. Candidates must hold a CA RN license and possess at least 7 years of nursing experience, including supervisory roles. Strong leadership skills and knowledge of health plan operations are essential.

This position aims to develop effective leaders within the team and drive continuous improvement in operations.
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