Neighborhood Health Plan of Rhode Island
The Grievance and Appeals Coordinator is responsible for the intake, processing, and monitoring of Medicaid, Medicare, and Commercial grievances, appeals, and complaints. This role ensures timely and compliant communication with members and providers, manages external appeal assignments, and maintains accurate records. The position also involves collaborating with internal departments and generating required reports for regulatory compliance.
Neighborhood Health Plan of Rhode Island (NHPRI) is a Rhode Island-based nonprofit health insurance organization that has been providing health coverage to Rhode Island families for over 30 years. The organization offers a range of plans including Medicaid (RIte Care), commercial individual and family plans, small business plans, and Medicare-Medicaid dual eligible special needs plans. NHPRI is dedicated to connecting members with quality health care providers and supporting the health and wellness of Rhode Island communities.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
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
View leadership team, funding history,
and employee contacts for Neighborhood Health Plan of Rhode Island.
Neighborhood Health Plan of Rhode Island didn’t post a salary, so this is our estimate from similar listings.
25% above the average for this role
Grievance & Appeals Specialist I
Blue Cross of Idaho
Grievance Administrator
amerihealthcaritas.phenompeople.com
Grievance & Appeals Specialist I
Blue Cross of Idaho
Grievance Administrator
amerihealthcaritas.phenompeople.com
Director of Appeals and Grievance
Sentara Health
Appeals and Grievance Specialist
Medica