• Specialist , Appeals

    Molina Healthcare (Lowell, MA)
    …DESCRIPTION** **Job Summary** Responsible for reviewing and resolving Medicare member appeals and Medicare claims in communicating resolution to members and provider ... + Responsible for the comprehensive research and resolution of the appeals from Molina members, providers and related outside agencies to ensure… more
    Molina Healthcare (11/20/25)
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  • RCO Appeals Hearing Specialist

    Intermountain Health (Concord, NH)
    **Job Description:** The RCO Appeals Hearing Specialist is responsible for investigating, coordinating and managing legal insurance cases and represents ... Intermountain Health in OIG hearings and 1st level grievances with insurance companies and CMS. This position communicates regularly with various levels of internal… more
    Intermountain Health (11/15/25)
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