Job Summary

• Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.
• Gather, analyze and report verbal and written member and provider complaints, grievances and appeals and prepare response letters.
• 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

Salary

Base: $19.43 - $32.98 per hour; Bonus/Equity: Not specified; Benefits: comprehensive benefits package

Skills & Requirements

Key Requirements

• High school diploma or equivalent
• 2+ years grievance or appeals experience
• 2+ years claims experience
• 2+ years managed care experience

Work Rights