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Healthcare Administration

Strategic Appeals & Grievances Quality Analyst

Job in Pearland, Brazoria County, Texas, 77588, USA
Listing for: Kelsey-Seybold
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Administration
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
A leading health care organization in Texas seeks a dedicated candidate for quality reviews in the Kelsey Care Advantage Operations Department. This role involves collaborating with IT on system issues, ensuring compliance with health plan information and CMS guidelines, and driving process improvements in appeals and grievances. Candidates should possess 3+ years in Healthcare Appeals and Grievances, analytical skills, and knowledge of CMS regulations.

Competitive hourly pay ranges from $28.94 to $51.63, with comprehensive benefits.
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