Oregon Licensed Appeals Specialist

A company is looking for an Appeals and Grievance Specialist for a short-term position. Key Responsibilities Provide program support for the Grievance System, including handling complaints, appeals, and regulatory reporting Ensure proper administration of health plan grievance system functions, including documentation and tracking Prepare and monitor grievance system reporting and analysis activities Required Qualifications Bachelor's degree in health administration, public health, or a health-related field Minimum of three years' experience in medical claims processing, complaints and appeals, or the health insurance industry Knowledge of Oregon Health Plan (OHP) benefit package and OHA rules and regulations Ability to work independently and collaboratively within a diverse team Excellent organizational skills and ability to manage multiple tasks simultaneously

Apr 24, 2025 - 00:22

A company is looking for an Appeals and Grievance Specialist for a short-term position. Key Responsibilities Provide program support for the Grievance System, including handling complaints, appeals, and regulatory reporting Ensure proper administration of health plan grievance system functions, including documentation and tracking Prepare and monitor grievance system reporting and analysis activities Required Qualifications Bachelor's degree in health administration, public health, or a health-related field Minimum of three years' experience in medical claims processing, complaints and appeals, or the health insurance industry Knowledge of Oregon Health Plan (OHP) benefit package and OHA rules and regulations Ability to work independently and collaboratively within a diverse team Excellent organizational skills and ability to manage multiple tasks simultaneously