Humana Inc. in the United States is seeking a Grievances & Appeals Representative 3 to handle expedited Medicaid and dual AIP appeals, review clinical documentation, and determine whether an appeal is warranted.
This is a high-volume, fast-paced role with quotas and strict turnaround times. You will manage cases from assignment to resolution, perform analytic reviews with partners, and communicate outcomes by phone to members or providers.
#J-18808-LjbffrRemote Medicaid Grievances & Appeals Specialist in workfromhome at Unknown Company
This position is listed as full time and onsite.