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Remote Medicaid Appeals Specialist

Remote / Online - Candidates ideally in
Laurel, Yellowstone County, Montana, 59044, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-10-02
Job specializations:
  • Healthcare
    Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 43000 - 56000 USD Yearly USD 43000.00 56000.00 YEAR
Job Description & How to Apply Below

Humana Inc. seeks a Grievances & Appeals Representative 3 to process expedited Medicaid and AIP (dual) appeals, reviewing clinical documentation to determine if an appeal is warranted.

This is a high-volume, fast-paced role with multiple cases per hour and strict turnaround expectations. You will manage cases from assignment to resolution, perform analytic reviews, and communicate outcomes to members or providers, while adapting to process changes and maintaining effective collaboration with

This is a strong opportunity to take on the Remote Medicaid Appeals Specialist role at Humana Inc.

This posting is for the Remote Medicaid Appeals Specialist role at Humana Inc, based in Helena, MT, United States.

We are looking to fill the Remote Medicaid Appeals Specialist position at Humana Inc in Helena, MT, United States.

The Remote Medicaid Appeals Specialist role at Humana Inc is now open for applications in Helena, MT, United States.

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