About this opportunity
Healthfirst lists this Clinical Appeals & Grievances Expert (RN) opportunity in new york, New York. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Healthfirst is seeking an A&G Clinical Specialist to lead the development and resolution of clinical cases for member and provider appeals, ensuring compliance with applicable laws and internal policies.
The role can be remote or on-site at the NYC or Lake Mary locations, with travel as needed. You will manage your own caseload, perform issue research, interpret guidelines, and prepare cases for internal and external reviews.
#J-18808-Ljbffr
Worksite address
new york, NY, 10261, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.