Mgr Clinical Appeals and Grievances
Talent Community
About this role
The Manager of Clinical Appeals & Grievances leads a team responsible for managing appeals, grievances, and related compliance. They work with organizational leadership, oversee process standardization, and ensure quality and compliance in a dynamic healthcare setting.
Skills
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
$103k – $149k
per year
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