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Remote Appeals & Grievances Specialist — Health Plan Ops

Remote / Online - Candidates ideally in
Somerville, Middlesex County, Massachusetts, 02145, USA
Listing for: Mass General Brigham Health Plan
Remote/Work from Home position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
A prominent health plan provider is seeking a candidate to coordinate member and provider appeals and grievances. The role involves handling a significant volume of cases, ensuring timely resolutions, and collaborating with internal teams to improve processes. Candidates should have 3-5 years of health plan experience, strong technology aptitude, and excellent communication skills. This is a remote role with quarterly team meetings in Somerville, Massachusetts, requiring a flexible schedule, including potential weekend on-calls.
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