Job Summary

A company is looking for a Cdr, Complaint Appeals.

Key Responsibilities:

• Manage resolution of Fast Track Appeals for Medicare products
• Research and analyze Fast Track appeals for all products and services
• Coordinate all components of Fast Track appeals and ensure timely response and closure

Required Qualifications:

• 1-2 years' experience in Medicare platforms, products, and benefits
• Experience in research and analysis of utilization management systems
• Experience in patient management compliance and regulatory analysis
• Experience in provider relations customer service or audit
• Some college preferred, High School or GED equivalent required