Manager, Home Health Grievances & Appeals
Humana(1 month ago)
About this role
The Manager, Home Health Grievances & Appeals leads the grievances and appeals function for CenterWell Home Health, overseeing determinations related to denials and audit responses. The role ensures alignment with Medicare and other regulatory requirements while partnering with clinical and operational teams to support revenue preservation and compliance.
Required Skills
- Grievances
- Appeals
- Clinical Review
- Audit Management
- Regulatory Compliance
- Medicare Knowledge
- Data Analysis
- Project Management
- Communication Skills
- EMR
+3 more
Qualifications
- Bachelor Degree in Nursing or Health Care
- Associate Degree in Nursing or Health Care
- Professional License (current state)
About Humana
humana.comExplore Medicare plans and health insurance coverage to fit your lifestyle. Turning 65 or recently qualified? Sign up for Medicare coverage! Start with healthy, start with Humana.
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