Supervisor, Appeals Grievance (state)

Centene

California, USA
Base: $27.02 - $48.55 ph; bonus/equity: not specif...
Hybrid
Grievance and appeals specialists supervision
Investigate and resolve member complaints
Provider dispute resolution
The Supervisor of Appeals & Grievances is accountable for the recruitment, hiring, promotion, counseling, and daily supervision of Grievance and Appeals Specialists and administrative support

Job Summary

  • The Supervisor of Appeals & Grievances is accountable for the recruitment, hiring, promotion, counseling, and daily supervision of Grievance and Appeals Specialists and administrative support.
  • This position is also responsible for the coordination of the resolution of grievance situations requiring competent and effective resolution in compliance with legal and regulatory requirements.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.

Matching Summary

The Supervisor of Appeals & Grievances is accountable for the recruitment, hiring, promotion, counseling, and daily supervision of Grievance and Appeals Specialists and administrative support.

Salary

Base: $27.02 - $48.55 per hour; Bonus/Equity: Not specified; Benefits: comprehensive benefits package

Skills & Requirements

Must-have

  • Grievance and Appeals Specialists supervision
  • Investigate and resolve member complaints
  • Provider dispute resolution
  • Compliance with legal and regulatory requirements
  • Auditing work of G&A Specialists

Nice-to-have

  • Call center training background
  • Quality assurance experience
  • Flexible approach to work

Key Requirements

  • 5+ years of experience in Managed Care
  • 2+ supervisory experience preferred
  • High School Diploma
  • Bachelor’s Degree preferred
  • Proven leadership experience

Work Rights

Residing in California

Tailored Resume

Cover Letter