senior appeals and grievances analyst

Summary: The Senior Appeals & Grievances Analyst will play a crucial role in a team dedicated to resolving complex healthcare appeals, grievances, and coverage disputes. This position requires strong analytical skills and healthcare knowledge to effectively investigate and resolve sensitive cases. The analyst will also interpret and explain benefits, policies, and medical terminology to various stakeholders. The role is remote and offers the opportunity to make a significant impact in the healthcare sector.

Key Responsibilities:

• Investigate and resolve sensitive cases from members, providers, and regulatory bodies.
• Interpret and explain benefits, policies, medical terminology, and coding.

Key Skills:

• Strong analytical skills.
• Healthcare knowledge.
• Ability to interpret benefits and policies.
• Understanding of medical terminology and coding.

Salary (Rate): 25.00

City: Durham

Country: United States

Working Arrangements: remote

IR35 Status: outside IR35

Seniority Level: Senior

Industry: Other