Appeals Grievance Liaison Associate

A company is looking for an Appeals & Grievance Liaison Associate. Key Responsibilities Assign cases through the appeals management tool and manage case transfers Research and respond to provider and member inquiries, ensuring departmental goals are met Support external audit preparation and collaborate with third-party vendors for document requests Required Qualifications 1 year of relevant work experience Knowledge of state and/or federal regulatory policies and health plan products Proficient in multiple PC-based software applications and systems Demonstrated strong organizational skills with the ability to manage priorities All relevant experience, including education and military experience, will be considered

Apr 17, 2025 - 19:07

A company is looking for an Appeals & Grievance Liaison Associate. Key Responsibilities Assign cases through the appeals management tool and manage case transfers Research and respond to provider and member inquiries, ensuring departmental goals are met Support external audit preparation and collaborate with third-party vendors for document requests Required Qualifications 1 year of relevant work experience Knowledge of state and/or federal regulatory policies and health plan products Proficient in multiple PC-based software applications and systems Demonstrated strong organizational skills with the ability to manage priorities All relevant experience, including education and military experience, will be considered