Manager, Appeals and Grievances
Talent Community
About this role
The Manager, Appeals & Grievances is responsible for leading a team that handles appeals and grievances within a healthcare organization. The role involves process standardization, performance communication, vendor management, and strategic process improvement to ensure compliance and high quality outcomes.
Skills
Qualifications
About Talent Community
healthfirst.orgHealthfirst is a not‑for‑profit health insurer focused on serving New Yorkers with a range of plans including Medicaid, Medicare Advantage, Child Health Plus, the Essential Plan, and individual & family coverage across New York City, Long Island, Westchester and nearby regions. The company emphasizes coordinated, community‑focused care through a large provider network, care management programs, preventive services, and support for social needs. Healthfirst provides member tools and customer support for plan selection and access to services, and runs quality and population‑health initiatives aimed at improving outcomes and reducing disparities.
Salary
$89k – $149k
per year
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