Job Description for Medicaid/Medicare appeal and grievance Analyst:
Our client is looking for analysts who will assist with the implementation of client’s remediation plan for the grievances and appeals
Responsibilities for Medicaid/Medicare appeal and grievance Analyst:
- Act as a member advocate addressing member or provider concerns
- Evaluate, review and evaluate appeals and grievances in compliance with state, federal and other regulatory requirements
Qualifications for Medicaid/Medicare appeal and grievance Analyst:
- Medicare/Medicaid Grievances and Appeals experience is a must
- Supporting and assisting with leading other team members
- Will assist with the implementation of client’s remediation plan for the backlog of grievances and appeals