Arizona Licensed Grievance Manager
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Job Summary
To ensure compliance with grievance and appeals processes, the full-time Arizona Licensed Grievance Manager will oversee the department's operations, manage a team of coordinators, and serve as the primary contact with state agencies while working remotely.
Key responsibilities
- Ensure timely processing of member and provider appeals in accordance with legal and contractual requirements
- Monitor trends in grievances and appeals, providing monthly reports to senior management
- Integrate changes in federal and state laws into the company's regulatory system related to grievances and appeals
Required qualifications
- Bachelor's degree in a related field or equivalent experience
- 3+ years of experience in healthcare, grievances, and appeals
- Previous supervisory experience, including hiring and training staff
- Experience managing cross-functional teams on large-scale projects
Complete Job Description
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