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Remote RN Clinical Appeals & Grievances Specialist

Remote / Online - Candidates ideally in
New Bedford, Bristol County, Massachusetts, 02740, USA
Listing for: Mass General Brigham Health Plan
Remote/Work from Home position
Listed on 2026-09-24
Job specializations:
  • Nursing
Salary/Wage Range or Industry Benchmark: 64000 - 93000 USD Yearly USD 64000.00 93000.00 YEAR
Job Description & How to Apply Below

Mass General Brigham Health Plan is hiring a Registered Nurse for remote work with occasional onsite meetings in Somerville, MA. You will handle clinical appeals and grievances, interact with providers and members, and coordinate with the medical director and pharmacy staff to ensure timely, compliant reviews.

Requires MA RN license, Bachelor's degree, and 3–5 years in clinical appeals or related healthcare services; 2–3 years of clinical experience preferred.

We are looking to fill the Remote RN Clinical Appeals & Grievances Specialist position at Mass General Brigham Health Plan in Somerville, MA, United States.

The following role is for a Remote RN Clinical Appeals & Grievances Specialist with Mass General Brigham Health Plan.

Our team is growing, and we are hiring a Remote RN Clinical Appeals & Grievances Specialist in Somerville, MA, United States.

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