Appeals Grievance Liaison Associate

Job Summary

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