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Molina Healthcare

Senior Appeals & Grievances Lead — Claims

town of texas, WI

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Job description

Molina Healthcare is seeking a Lead Appeals Specialist in Wisconsin to manage submission, intervention and resolution of provider and member appeals, grievances and complaints, ensuring timely, compliant responses.

The role involves training staff, guiding complex cases, and collaborating with claims leadership to drive accurate resolutions in accordance with CMS and Molina guidelines.

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