Appeals & Grievances Coordinator I (On-site/Remote)

MedImpact Healthcare Systems, Inc.; San Diego (CA); On-site; USD 25,000 - 38,000; Full time

Benefits offered by this job

Medical / Dental / Vision / Wellness

Paid Time Off / Holidays

Incentive Compensation

401K with Company match

Life and Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Job summary

MedImpact Healthcare Systems, Inc. is seeking an Appeals and Grievances Coordinator I in San Diego, CA.

The role supports intake, processing, and compliance for appeals and grievances, working with MedAccess, MedResponse, FileNet, and RightFax to ensure accurate and timely responses. The position requires a GED/HS diploma with at least 1 year of related experience, pharmacy tech licensure, and strong communication skills.

Qualifications

• GED/HS Diploma and 1+ year experience or equivalent combination of education and experience.
• Certified Pharmacy Technician state licensure is required; Certification preferred.
• Proficiency with MS Office Suite, including Word and Excel.

Responsibilities

• Evaluate and process Appeals and Grievances per established work instructions.
• Perform outreach activities to obtain information for processing Appeals and Grievances.
• Ensure Appeals and Grievances are finalized within required turnaround time (TAT).
• Cross-train across appeal and grievance task divisions.

Skills

Oral Communication

Written Communication

Teamwork

Organizational Skills

Education

GED/HS Diploma

Tools

MS Office

MS Word

MS Excel

Job description

MedImpact Healthcare Systems, Inc. is seeking an Appeals and Grievances Coordinator I in San Diego, CA.

The role supports intake, processing, and compliance for appeals and grievances, working with MedAccess, MedResponse, FileNet, and RightFax to ensure accurate and timely responses. The position requires a GED/HS diploma with at least 1 year of related experience, pharmacy tech licensure, and strong communication skills.