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Lead Appeals & Grievances Specialist; Medicare/Medicaid
Job in
Fort Worth, Tarrant County, Texas, 76102, USA
Listed on 2026-01-27
Listing for:
Molina Healthcare
Full Time
position Listed on 2026-01-27
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
A healthcare service provider is seeking a Lead Claims Specialist to oversee claims activities, address member and provider concerns, and ensure compliance with CMS standards. Candidates should have at least 3 years of managed care experience, particularly with Medicaid and Medicare claims processing, and possess strong organizational and communication skills. This role provides an opportunity to lead a team and contribute to a supportive work environment that prioritizes quality service and compliance.
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