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Remote Appeals & Grievances Specialist
Remote / Online - Candidates ideally in
Edina, Hennepin County, Minnesota, USA
Listed on 2026-08-28
Edina, Hennepin County, Minnesota, USA
Listing for:
Medica Services Company LLC
Remote/Work from Home
position Listed on 2026-08-28
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
Medica is seeking an Appeals and Grievance Specialist to manage member complaints, grievances, and regulatory inquiries, ensuring timely, accurate, and compliant resolutions.
You will determine whether cases are clinical or non-clinical, route them to the appropriate internal partners, and collaborate with Operations, Health Services, Legal, and Markets. This is a remote position with a competitive total rewards package.
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