Molina HealthcarePremiumSpecialist, Appeals & Grievances
Quick summary
The Specialist, Appeals & Grievances role at Molina Healthcare involves supporting claims activities by resolving member and provider complaints in compliance with CMS standards. Candidates should have at least 2 years of managed care experience and strong communication skills. This position is not remote and is focused on healthcare claims processing.
JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requiremen
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