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Director, Appeals & Grievances - Remote Strategy Lead
Remote / Online - Candidates ideally in
Northern, Floyd County, Kentucky, USA
Listed on 2026-08-18
Northern, Floyd County, Kentucky, USA
Listing for:
Sentara Healthcare Inc
Remote/Work from Home
position Listed on 2026-08-18
Job specializations:
-
Management
Healthcare Management -
Healthcare
Healthcare Management
Job Description & How to Apply Below
Sentara Health Plans in Virginia Beach region seeks a Director of Appeals and Grievance to plan, develop, and direct the department across Commercial, Medicaid, and Medicare lines of business. This role leads program development, strategic planning, and operational execution for Appeals and Grievances.
You will establish policies and workflows, oversee complaints and appeals reporting, collaborate with Medical Directors to adjust criteria, and ensure regulatory compliance, external audits, and
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