Manager, Appeals & Grievances

Molina Healthcare seeks an experienced and highly motivated Manager, Appeals & Grievances with a passion for customer service and an outstanding ability to build relationships and manage teams. If you have a strong customer service background and a proven track record of leading teams in a fast-paced environment, then this position could be the perfect opportunity for you.The ideal candidate should have a Bachelor’s Degree in Business Administration, Health Administration, or a related field, with at least three years of experience in appeals and grievances, managed care, provider relations, or customer service. The Manager, Appeals & Grievances should also possess excellent communication and interpersonal skills, as well as the ability to effectively collaborate and build relationships with internal and external stakeholders.If you are looking to join an innovative and forward-thinking organization, and you have the qualifications and experience we are seeking, we would love to hear from you.

Responsibilities:

1. Develop and maintain key relationships with internal and external stakeholders.
2. Lead and manage a team of Appeals & Grievances personnel.
3. Monitor and respond to customer service inquiries and complaints.
4. Ensure accuracy and timely resolution of appeals.
5. Analyze and monitor appeals trends.
6. Develop and implement process improvements and standards to improve customer service.
7. Communicate and coordinate with internal and external teams to ensure customer satisfaction.
8. Ensure compliance with federal and state regulations.
9. Maintain reports and records of appeals processes and resolutions.
10. Provide guidance and support to team members on appeals and customer service matters.

According to JobzMall, the average salary range for a Manager, Appeals & Grievances is between $50,000 and $90,000. The salary range may vary depending on the size of the organization, the industry, the geographic location, and the experience and qualifications of the individual.

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.