Appeals and Grievances Clinical Specialist
France Cars SAS AAA(7 days ago)
About this role
The Appeals & Grievances Clinical Specialist at Healthfirst handles clinical case development and resolution for member and provider complaints related to health services. They work independently to investigate, interpret regulations, and prepare cases for review and appeals, ensuring compliance with federal and state regulations.
Required Skills
- RN
- Clinical Practice
- Appeals
- Case Management
- Utilization Review
- Regulations
- Microsoft Excel
- Microsoft Word
- Care Management Systems
- Investigation
About France Cars SAS AAA
bloomberg.comBloomberg is a global leader in financial information and technology, providing data, news, and analytics to financial professionals around the world. The company offers an array of products and services, including the Bloomberg Terminal, which delivers real-time data and insights for trading, investment, and risk management. With a commitment to innovation, Bloomberg combines cutting-edge technology with extensive market expertise to empower financial professionals in making informed decisions.
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