Job Summary
A healthcare and retail pharmacy company is in need of a Telecommute Appeal and Grievance Consultant.
Core Responsibilities Include:
- Ensure timely, customer focused response to appeals, complaints and grievance
- Manage control and trend inventory
- Identify trends and emerging issues
Qualifications for this position include:
- At least 5 years of experience
- Experience in reading or researching benefit language
- Strong knowledge of the external review process related to federal and state regulations
- Bachelor's degree or equivalent experience
