Remote Senior Clinical Appeals & Grievances Specialist
Minneapolis, Hennepin County, Minnesota, 55421, USA
Listed on 2026-10-20
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Healthcare
Healthcare Compliance, Healthcare Administration
Medica is a nonprofit health plan serving diverse communities with a mission to provide coordinated, quality care. The Appeals and Grievances Clinical Specialist III role focuses on reviewing, investigating, and resolving member and provider appeals with clinical expertise, ensuring regulatory compliance and quality outcomes.
You will collaborate with Medical Directors, clinical staff, and operations to support timely determinations, oversee C2C challenges, and contribute to STARs performance
We invite applications for the Remote Senior Clinical Appeals & Grievances Specialist position located in Minnetonka, MN, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 70..
This role offers the option to work remotely.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
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