Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $42.80 per hour
- Excellent benefits package, including fully paid medical, dental, and vision coverage
- Retirement plan with employer contributions equivalent to 10% of annual compensation
- Generous paid time off, including 12 paid holidays and 16 days of vacation per year
- Opportunity for professional development through a tuition reimbursement plan
- Supportive and collaborative work environment focusing on continuous improvement

What to Expect (Job Responsibilities):
- Analyze G&A data to identify trends and root causes of operational issues and communicate findings to management
- Develop and produce visualizations of data reports to support analysis and reporting
- Maintain department procedures, workflows, and training materials while identifying barriers to processes
- Lead team preparation for audits and ensure compliance with regulatory agencies
- Provide ongoing training and assistance to internal staff on grievance and appeals processes

What is Required (Qualifications):
- Bachelor's Degree preferred
- 3+ years of experience in managed care and/or grievance and appeals within a healthcare environment
- Knowledge of local, state, and federal health plan guidelines and regulations
- Proficiency in Microsoft Office Suite applications
- Strong analytical skills with high attention to detail

How to Stand Out (Preferred Qualifications):
- Medicare/Medicaid experience preferred
- Subject-matter expertise in training and facilitation skills in group and one-on-one settings

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