Healthfirst
The Appeals Specialist in the Appeals & Grievances unit is a subject matter expert responsible for non-clinical case development and resolution of member and non-contracted provider appeals across Health Plan lines of business. The role ensures compliance with federal and state regulations, manages an independent caseload, and is accountable for investigating and resolving initiated cases.
Headquarters
New York, New York, United States
Company Size
1001-5000 employees
Founded
1993
Healthfirst is a New York-based health insurer offering Medicare Advantage, Medicaid, Essential Plans, Child Health Plus, and other individual and family plans, along with long-term care options. Serving New York City, Long Island, Westchester, Rockland, Sullivan and surrounding areas, Healthfirst emphasizes a broad provider network, care coordination, and member resources to help New Yorkers access affordable health coverage.
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