More jobs:
Remote/On-Site Clinical Appeals Specialist
Remote / Online - Candidates ideally in
Johnson City, Washington County, Tennessee, 37603, USA
Listed on 2026-07-29
Johnson City, Washington County, Tennessee, 37603, USA
Listing for:
Healthfirst
Remote/Work from Home
position Listed on 2026-07-29
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
Healthfirst seeks an Appeals & Grievances Clinical Specialist to manage a caseload of member and provider cases related to authorization and service delivery. The role blends clinical case development with regulatory compliance and handles internal and external appeals.
The position can be remote or on-site at the NY or Lake Mary, FL locations, with some travel. Ideal candidates are RNs with experience in appeals, claims processing, and utilization management, and familiarity with UR guidelines.
#J-18808-LjbffrTo View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
Search for further Jobs Here:
×