• Member Appeals & Grievances…

    Cognizant (Lansing, MI)
    **Member Appeals & Grievances Specialist ** ( remote ) This is a remote position open to any qualified applicant that lives in the United States. ... **Summary:** We are seeking a dedicated Member Appeals & Grievance Specialist with a minimum...with CMS Billing and Coding-Medical Insurance Knowledge of Member/Provider Appeals and Grievances , processes, resolutions, compliance TAT… more
    Cognizant (11/01/25)
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  • Specialist , Appeals…

    Molina Healthcare (MI)
    …**Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances , and/or complaints from Molina members, providers, ... that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
    Molina Healthcare (10/26/25)
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  • Associate Specialist , Appeals…

    Molina Healthcare (Grand Rapids, MI)
    …with research. * Determines appropriate language for letters and prepares responses to member appeals and grievances . * Elevates appropriate appeals to the ... in an efficient and timely manner. * Creates and/or maintains appeals and grievances related statistics and reporting. * Collaborates with provider and member… more
    Molina Healthcare (10/26/25)
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  • Appeals & Grievances…

    Molina Healthcare (Grand Rapids, MI)
    Molina Healthcare is hiring for an Appeals & Grievance Specialist . This role is 100% remote and will work in the Pacific Time Zone. This role provides ... **Essential Job Duties** + Facilitates comprehensive research and resolution of appeals , disputes, grievances , and/or complaints from Molina members, providers,… more
    Molina Healthcare (10/29/25)
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