Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote -Healthfirst
Position Summary:
The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. A&G works in collaboration with divisions within and outside the organization to resolve issues in a timely and compliant manner.
The A&G Clinical Spe...
