Arizona Licensed Grievance Coordinator

A company is looking for a Senior Grievance & Appeals Coordinator to oversee departmental operations related to grievances and appeals. Key Responsibilities Review incoming submissions and conduct thorough case investigations and documentation Maintain tracking systems and produce operational dashboards to ensure regulatory compliance Assist in training sessions and collaborate with other departments on Grievance & Appeals projects Required Qualifications Associate's Degree in a healthcare-related field or business Three to four years of experience in grievance and appeal work in a healthcare environment Knowledge of AHCCCS, HCG, and CMS regulations Strong understanding of administrative hearing processes for escalated grievances and appeals Ability to train and mentor new Grievance & Appeals coordinators

Feb 20, 2025 - 03:07

A company is looking for a Senior Grievance & Appeals Coordinator to oversee departmental operations related to grievances and appeals. Key Responsibilities Review incoming submissions and conduct thorough case investigations and documentation Maintain tracking systems and produce operational dashboards to ensure regulatory compliance Assist in training sessions and collaborate with other departments on Grievance & Appeals projects Required Qualifications Associate's Degree in a healthcare-related field or business Three to four years of experience in grievance and appeal work in a healthcare environment Knowledge of AHCCCS, HCG, and CMS regulations Strong understanding of administrative hearing processes for escalated grievances and appeals Ability to train and mentor new Grievance & Appeals coordinators