Grievance & Appeal Analyst 1

The Grievance & Appeal Analyst 1 is an entry-level position within the Enterprise Grievance & Appeals Department responsible for reviewing, analyzing, and processing non-complex pre-service and post-service grievances and appeals. The role involves conducting research on claims and medical records, rendering determinations, and communicating outcomes in clear language while adhering to regulatory and accreditation standards. This virtual role offers flexibility while requiring participation in required in-person training sessions.