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Grievance & Appeals Compliance Specialist

Job in Smithfield, Providence County, Rhode Island, 02917, USA
Listing for: Neighborhood Health Plan of Rhode Island
Full Time position
Listed on 2026-08-23
Job specializations:
  • Healthcare
    Healthcare Administration
Salary/Wage Range or Industry Benchmark: 55000 - 75000 USD Yearly USD 55000.00 75000.00 YEAR
Job Description & How to Apply Below

Neighborhood Health Plan of Rhode Island is seeking a Grievance and Appeals Coordinator to support the GAU by managing intake, assignment, tracking, and timely communications across Medicaid, Medicare, and Commercial lines.

The role ensures compliant early resolutions, maintains secure records, coordinates with internal teams and external entities, and provides training as needed to strengthen the grievance and appeals process. Evening/weekend coverage may be required.

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