Remote Appeals & Grievance Specialist
Austin, Travis County, Texas, 78716, USA
Listed on 2026-09-27
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Healthcare
Healthcare Administration
Well Sense Health Plan is seeking an Appeals and Grievance Specialist for full-time remote work. The role handles medical and pharmacy member appeals and complaints, ensuring regulatory and contractual compliance across CMS, Mass Health, and DHHS directives.
The position requires 2+ years in managed care, Medicare/PH prior authorizations, and NCQA standards familiarity, with strong communication and problem-solving abilities. Competitive salary and comprehensive benefits offered.
We have an opening for a Remote Appeals & Grievance Specialist in United States within Bio & Pharmacology & Health.
This role, Remote Appeals & Grievance Specialist at Rise Me, could be your next opportunity.
Are you ready to take on the Remote Appeals & Grievance Specialist role at Rise Me?
We would love to welcome a new Remote Appeals & Grievance Specialist to our group in United States.
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