Presbyterian Healthcare Services

Appeals and Grievance Specialist

Presbyterian Healthcare Services

3 months ago
Onsite
Full Time
Medior
0 applicants
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Presbyterian Healthcare Services
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About this role

An Appeals and Grievance Specialist at Presbyterian Healthcare Services supports the health plan by managing member and provider grievances, complaints, and appeals. The role focuses on ensuring regulatory-compliant case documentation, accurate reporting, and advocacy for members within the organization. This is a full-time position based in Albuquerque.

Skills

Qualifications

High School Diploma or GEDAssociate Degree (preferred)
Presbyterian Healthcare Services

About Presbyterian Healthcare Services

phs.org

Find the medical care and health plan you and your family need at Presbyterian Healthcare Services, an integrated system of hospitals, healthcare providers and insurance plans serving patients and members in New Mexico.

About Presbyterian Healthcare Services

Headquarters

San Francisco, CA

Company Size

201-500 employees

Founded

2018

Industry

Technology

Glassdoor Rating

4.2 / 5

Leadership Team

Sarah Johnson

Chief Executive Officer

Michael Chen

Chief Technology Officer

Emily Williams

VP of Engineering

David Rodriguez

VP of Product

Jessica Thompson

Chief Financial Officer

Andrew Park

VP of Sales

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