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AppleOne Employment Services

Healthcare Grievance & Appeals Specialist

los angeles, CA

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Job description

AppleOne Employment Services seeks a Grievance and Appeals Specialist to analyze and process non-complex health plan grievances and appeals with a focus on regulatory alignment and clear written communication. You will review cases from members, providers, and third parties within a structured framework.

The position offers cross-functional collaboration, training, and exposure to URAC/NCQA standards, requiring strong writing and analytical abilities in a compliant environment.

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Worksite address

los angeles, CA, 90079, US

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