Remote Clinical Appeals & Grievances Specialist
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Healthcare
Job Description & How to Apply Below
Healthfirst is seeking an A&G Clinical Specialist to manage clinical case development and resolution for member and provider appeals and grievances. This 100% remote role involves independent investigation, regulatory compliance, and timely case closure while handling a diverse caseload.
The position requires RN or LPN licensure and a preference for a Bachelor’s degree; strong experience with utilization review and care management systems is a plus.
Consider building your career as a Remote Clinical Appeals & Grievances Specialist at Healthfirst.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
This is a Full Time role.
The position is based in United States.
This opportunity is part of our work in Bio & Pharmacology & Health, Sales.
The advertised compensation is 73..
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