Arizona Licensed Market Appeals Specialist

To support utilization management within the behavioral health division, the full-time Arizona Licensed Market Appeals Specialist will manage and complete standard appeals, liaise with local facilities and payers, and participate in utilization management team meetings, all in a fully remote capacity. Key responsibilities Complete all standard appeals timely and manage appeal inventory through ongoing tracking and monitoring Act as a liaison with local facilities and payers to ensure timely appeal processing and appropriate follow-up for facility reimbursement Provide feedback to providers and the UM team on opportunities impacting facility recoveries Required qualifications Bachelor's degree required, Master's preferred RN License or Master's level clinician required, licensure preferred 3-5 years related experience required, 5-8 years preferred Knowledge of utilization management operations and experience with appeal letters and payer engagement Proficient in Excel, Microsoft Office/Teams, Word, and database inventory management