- Molina Healthcare (Detroit, MI)
- …research and resolution of the complex or escalated and high dollar appeals , grievances , and/or complaints from Molina members, providers and related ... outside agencies. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews medical… more
- Molina Healthcare (Detroit, MI)
- Molina Healthcare of Michigan is hiring for a Member Engagement, Senior Specialist . This role is primarily remote with some travel for local events in or near ... issues in areas involving member impact and engagement including: Appeals and Grievances , Member Problem Research and...Care including working with the State External Advocate, Enrollment Specialist and Ombudsmen on issues of access to medical… more