Medicare Grievance & Appeals Coordinator

ProPivotal; Hingham (MA); On-site; USD 29,000 - 30,000; Full time

Job summary

ProPivotal in Hingham, MA is seeking a Medicare Advantage Grievance Coordinator. This on-site role involves processing grievances, appeals, or member complaints within a structured, compliant environment.

You will work under CMS guidelines, maintain precise case notes, and collaborate with a professional team near the South Shore. The position offers a stable, recurring schedule with weekly pay at $21–$22 per hour.

Qualifications

• Experience processing Medicare Advantage grievances, appeals, or member complaints in a managed care or health plan setting.
• Working knowledge of CMS guidelines and Medicare regulatory requirements.
• Strong written communication skills and comfort working within case management or claims systems.

Responsibilities

• Process Medicare Advantage grievances, appeals, or member complaints in a timely and accurate manner.
• Ensure adherence to CMS guidelines and Medicare regulatory requirements in all cases.
• Document case notes and resolution steps in the case management or claims system.

Skills

Grievances processing

CMS guidelines

Written communication

Job description

ProPivotal in Hingham, MA is seeking a Medicare Advantage Grievance Coordinator. This on-site role involves processing grievances, appeals, or member complaints within a structured, compliant environment.

You will work under CMS guidelines, maintain precise case notes, and collaborate with a professional team near the South Shore. The position offers a stable, recurring schedule with weekly pay at $21–$22 per hour.