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Lead, Clinical Appeals & Grievances Operations

Job in Reading, Berks County, Pennsylvania, 19610, USA
Listing for: Healthfirst
Full Time position
Listed on 2026-08-24
Job specializations:
  • Healthcare
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 89000 - 132000 USD Yearly USD 89000.00 132000.00 YEAR
Job Description & How to Apply Below

Healthfirst seeks a Manager of Clinical Appeals & Grievances to lead a fast-paced team and coordinate with organizational leaders to optimize processes and drive performance. The role oversees internal and external production and ensures high quality and compliance across all levels.

The position requires a Bachelor’s degree (RN preferred) with experience in utilization management or appeals, and a track record of leading teams in complex healthcare environments.

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