• Specialist , Appeals & Grievances…

    Molina Healthcare (IA)
    …hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** **Job Summary** Responsible for reviewing and resolving member ... appeals and communicating resolution to members and provider (or...and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews medical records, notes,… more
    Molina Healthcare (06/26/25)
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  • Sr Specialist , Member Engagement (Remote)

    Molina Healthcare (Sioux City, IA)
    …Member issues in areas involving member impact and engagement including: Appeals and Grievances, Member Problem Research and Resolution, and the ... subcontractors and enrollees. * Monitors all formal and informal grievances with Grievance personnel to identify trends or problem areas of access and care… more
    Molina Healthcare (08/02/25)
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