Appeals and Grievances Clinical Specialist
France Cars SAS AAA(5 days ago)
About this role
The Clinical Specialist in Appeals & Grievances handles the development and resolution of clinical cases related to member and provider complaints, ensuring compliance with regulations. They work independently to investigate, make decisions, and prepare cases for review within a healthcare organization, supporting quality and regulatory standards.
Required Skills
- Clinical Cases
- Regulatory Compliance
- Investigation
- Case Management
- Healthcare Policies
- Communication
- Research
- Documentation
- Use of Care Management Systems
- Problem Solving
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.
View more jobs at France Cars SAS AAA →Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at France Cars SAS AAA
Similar Jobs
Appeals & Grievances Coordinator
Brigham and Women(1 month ago)
Nurse Appeals RN-Quality of Care
Elevance Health(1 month ago)
Appeals & Grievances Coordinator
Brigham and Women(1 month ago)
Grievances & Appeals Specialist
Modivcare(2 months ago)
Temporary Coordinator remote - Appeals & Grievances - MediGold Health Plan
Loyola Medicine(13 days ago)
Appeals and Grievance Specialist - Work from Home
Sagility(26 days ago)