• Member Grievances Specialist…

    Molina Healthcare (Tampa, FL)
    **JOB DESCRIPTION** **Job Summary** Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
    Molina Healthcare (09/06/25)
    - Related Jobs

  • Associate Specialist , Appeals…

    Molina Healthcare (FL)
    …appeals and grievances . + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues ... **JOB DESCRIPTION** **Job Summary** Responsible for reviewing and resolving member & provider complaints and communicating resolution to members (or authorized)… more
    Molina Healthcare (08/30/25)
    - Related Jobs

  • Sr Specialist , Member Engagement…

    Molina Healthcare (Miami, FL)
    …and member retention. Represents Member issues in areas involving member impact and engagement including: Appeals and Grievances , Member Problem ... Research and Resolution, and the development/maintenance of Member Materials. **Knowledge/Skills/Abilities** * Serves as an advocate for members to resolve issues… more
    Molina Healthcare (08/08/25)
    - Related Jobs

  • Grievance Specialist

    Healthfirst (FL)
    …or a related field preferred. + 2+ years of experience in managed care, member services, or healthcare grievances or complaints resolution. + Working knowledge ... **Key Responsibilities:** + Independently manage a caseload of grievances through the full case lifecycle, from written acknowledgement to investigation, resolution,… more
    Healthfirst (09/09/25)
    - Related Jobs