Remote Appeals Specialist II - Grievances & Resolutions
Job in
Raleigh, Wake County, North Carolina, 27601, USA
Listed on 2026-08-30
Listing for:
Trillium Health Resources
Full Time
position Listed on 2026-08-30
Job specializations:
-
Government
Healthcare Administration, Government Administration
Job Description & How to Apply Below
Trillium Health Resources is a North Carolina-based Tailored Plan and MCO serving 46 counties. The Appeals Specialist II handles appeals and grievances from intake to resolution, investigating concerns and ensuring timely, compliant communications.
The role requires reviewing case information, determining appropriate actions, and producing determination communications in line with regulatory standards. The position emphasizes accuracy and timely processing in a dynamic health services
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