Lead Grievance Coordinator

Job Summary

A company is looking for a Lead Grievance & Appeals Coordinator.

Key Responsibilities

• Handle escalated member and provider issues
• Mentor staff and provide real-time feedback
• Research and resolve complex issues, including regulatory and CMS matters

Required Qualifications

• Bachelor's degree in a related field or equivalent experience
• 2+ years of grievance and appeals experience in a Healthcare or Managed Care setting
• Experience with compliance and internal standards
• Ability to train and educate team members on processes and policies
• Experience preparing reports and documentation for audits