Grievance & Appeals Coordinator I

Remote-ILremotemid$40K – $69K

Posted 3 days ago · via Workday

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About this role

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME. PREFER APPLICANTS WHO RESIDE IN THE STATE OF ILLINOIS. ROLE SUPPORTS MERIDIAN MEDICAID AND YOUTHCARE MEMBERS. WORK SCHEDULE DURING TRAINING IS MONDAY-FRIDAY 8AM - 5PM, AND AFTER TRAINING MONDAY - FRIDAY 8:30AM - 5PM WITH A 30 MINUTE LUNCH CENTRAL TIME ZONE. OVERTIME WILL BE OFFERED AS NEEDED. Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.…

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What we'd score you on

reqspace match rubric

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Skills match

For this role: monday

Level fit

This role is mid-level. We check your trajectory against it.

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

Location fit

This role is remote-eligible — we factor in your stated location and time-zone overlap.

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Skills in this role

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monday

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