Director, Grievance & Appeals
Remote-FLremotedirector$108K – $199K
Posted today · via Workday
About this role
Position Purpose: Responsible for oversight of member appeals and grievance processes. Directs and ensures the efficient operational management of appeals and grievance departments/function with emphasis on execution, outcomes, continual improvement and performance enhancement. Key Details: Must reside within the state of Florida. Directs and ensures the efficient operational management of appeals and grievance departments/function with emphasis on execution, outcomes, continual improvement and performance enhancement. Participates on several internal committees to engage and offer input and guidance relative to risk assessment activities, impact of regulatory changes.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: teams
2
Level fit
This role is director-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible. We factor in your stated location and time-zone overlap.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
teams
More at Centene
- View →Vice President, Enterprise Business Platforms, Membership Enrollment & BillingRemote-MO
- View →Product Owner - Business OperationsRemote-MO
- View →Program Manager III - Payment AccuracyRemote-MO
- View →Vice President, Enterprise PMORemote-KY
- View →Marketing DriverRego Park-59-17 Junction Blvd (10875)
- View →Marketing DriverRego Park-59-17 Junction Blvd (10875)
