Medicaid Appeals Supervisor

Job Summary

A company is looking for a Supervisor, Appeals and Grievances for Medicaid.

Key Responsibilities

• Oversee daily operations and facilitate the work of team members
• Lead the Appeals efforts, providing oversight, training, and guidance to the team
• Conduct in-depth investigations and documentation of member appeals and grievances in compliance with regulations

Required Qualifications

• Bachelor's Level Degree or 5+ years of Medicare appeals experience at a health plan
• 5 years of Managed Care experience
• 3 years of experience in Healthcare Complaints/Appeals
• Previous experience with member appeals and grievances in Medicaid is preferred
• Supervisory experience is preferred