Supervisor of Grievances and Appeals

Company: VirtualVocations
Location: Portland
Posted on: November 15, 2024

Job Description:

A company is looking for a Supervisor - Grievances and Appeals.

Key Responsibilities

Establish and maintain Grievance and Appeals processes to support quality, production, and financial goals
Drive operational excellence in compliance with CMS and company requirements
Supervise staff and optimize departmental workload for effectiveness

Required Qualifications

Bachelor's degree in a related field or equivalent experience
3-5 years of experience in an insurance or managed care environment
At least 1 year of supervisory or lead experience in the industry
Experience in Grievance and Appeals or customer service within managed care or insurance
Basic understanding of claims processing and CMS regulations related to Grievance and Appeals

Keywords: VirtualVocations, Hillsboro , Supervisor of Grievances and Appeals, Other , Portland, Oregon

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