- AmeriHealth Caritas (Philadelphia, PA)
- …**This position is hybrid in Philadelphia, PA** **Job Summary** The Appeals & Grievance Case Resolution Specialist is responsible for the full life cycle ... of assigned member and/or provider appeals and grievance cases. Working under general... cases. Working under general supervision, this role conducts case intake, investigation, and documentation to ensure accurate and… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Staff Management** + Supervise daily activities of assigned Appeals & Grievance staff, including scheduling, workload distribution and case prioritization + ... staffing, and performance for a remote team of 15 Appeals & Grievance Specialists, Administrator, and Team...Management, Member Services, Legal, and Compliance to ensure Consistent resolution of appeals and grievances **Education and… more