What are the responsibilities and job description for the Grievance & Appeals Coordinator I position at Health Net?
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.
Remote-CA.
- Must reside in California
Healthcare grievance and appeals experience strongly preferred.
Position Purpose : Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.
Education / Experience : High school diploma or equivalent. Associate’s degree preferred. 2 years grievance or appeals, claims or related managed care experience. Strong oral, written, and problem solving skills.Pay Range : $19.04 - $32.35 per hour
Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Salary : $19 - $32
