Supervisor of Appeals and Grievances

Job Summary

Supervising the daily operations of the Appeals and Grievance team, the full-time remote Supervisor of Appeals and Grievances will ensure productivity and quality metrics are met while supporting staff on escalated issues and monitoring case loads across multiple states.

Key responsibilities

• Ensure compliance with standards and corporate policies for processing appeals, grievances, and complaints
• Act as a resource for the team on complex issues and provide guidance on performance standards
• Identify process improvement opportunities and collaborate with various departments to implement solutions

Required qualifications

• Bachelor's degree in a related field or equivalent experience
• 2+ years of experience in appeals and grievances processing in a healthcare or managed care setting preferred
• Experience in healthcare law is preferred