Remote Medicaid Grievances & Appeals Specialist
Biddeford, York County, Maine, 04005, USA
Listed on 2026-10-02
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Healthcare
Healthcare Administration
Humana Inc. in the United States is seeking a Grievances & Appeals Representative 3 to handle expedited Medicaid and dual AIP appeals, review clinical documentation, and determine whether an appeal is warranted.
This is a high-volume, fast-paced role with quotas and strict turnaround times. You will manage cases from assignment to resolution, perform analytic reviews with partners, and communicate outcomes by phone to members or providers.
We are seeking a motivated Remote Medicaid Grievances & Appeals Specialist to join Humana Inc in Augusta, ME, United States.
All applications are reviewed carefully by our team.
This is a Full Time role.
The position is based in Augusta, ME, United States.
This opportunity is part of our work in Sales, IT & Technology.
The advertised compensation is 43.000 - 56.000.
We aim to respond to suitable candidates as soon as possible.
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