Sentara Health is seeking a Director of Appeals and Grievance to plan, develop, and direct department services for existing and new business opportunities. You will set strategic long-term goals for Commercial, Medicaid, and Medicare, partnering with Medical Directors to refine criteria and benefits.
You will oversee complaints and grievances reporting, ensure compliance with contracts and regulations, and manage audits (NCQA, EQRO, CMS, DMAS, BOI). Remote.US remote work supported.
#J-18808-LjbffrDirector, Appeals & Grievances (Remote) in virginia beach at Unknown Company
This position is listed as contract and able to be worked remotely.