Member Appeals & Grievances Coordinator

Beacon Hill; Boston (MA); On-site; USD 25,000 - 35,000; Full time

Benefits offered by this job

Health insurance

Job summary

Beacon Hill is seeking a Member Appeals & Grievances Coordinator for a 40-hour-per-week contract in Charlestown, MA, running from November 2, 2026 through January 30, 2027. This role focuses on accurate intake, documentation, tracking, and distribution of member appeals and grievances while supporting regulatory compliance, reporting, and internal auditing.

Required qualifications include a Bachelor's in healthcare administration or related field, proficiency with Microsoft Office and healthcare

Qualifications

• Bachelor's degree in healthcare administration or related field or equivalent experience.
• Proficiency with MS Office and healthcare management systems.
• Strong attention to detail, organization, problem-solving, and data-entry.
• Excellent written, verbal, interpersonal, and customer-service skills.
• Preferred: 2+ years in healthcare, especially appeals and grievances; health insurance experience.

Responsibilities

• Identify, intake, document, and distribute member appeals and grievances on time.
• Maintain accurate information in the Appeals & Grievances system of record.
• Respond professionally to members, providers, and internal departments.
• Maintain secure, compliant records and support audits and reporting.
• Analyze data, identify trends, and assist with management reporting.

Skills

MS Office

Healthcare systems

Attention to detail

Data entry

Communication skills

Customer service

Multitasking

Independent work

Time management

Education

Bachelor's degree in healthcare administration or related field

Tools

JIVA

Facets

Express Scripts

HPMS

Job description

This is a 40-hour-per-week Member Appeals & Grievances Coordinator contract position in Charlestown, MA, running from November 2, 2026 through January 30, 2027. This position is paying $21.60/hour. The position is with a health insurance/healthcare organization and focuses on the accurate intake, documentation, tracking, and distribution of member appeals and grievances while supporting regulatory compliance, reporting, and internal auditing.

Key Responsibilities:

• Identify, intake, document, and distribute member appeals and grievances accurately and within required deadlines.
• Maintain accurate information in the Appeals & Grievances system of record.
• Respond professionally to members, providers, and internal departments regarding case status and procedures.
• Maintain organized, secure, and compliant records.
• Identify trends, procedural concerns, or potential issues and escalates them to management.
• Assist with audits, monitoring, and daily, weekly, or monthly reporting.
• Analyze data and identify trends to support management reporting.
• Help maintain efficient workflows designed to minimize manual errors and improve consistency.
• Participate in or lead training for specialists, coordinators, and new staff.
• Maintain current training materials and support additional Appeals & Grievances functions as needed.

Candidate Qualifications:

• Bachelor's degree in healthcare administration or a related field, or an equivalent combination of education, training, and experience.
• Proficiency with Microsoft Office applications and healthcare management systems.
• Strong attention to detail, organization, problem-solving, and data-entry skills.
• Ability to analyze information, identify trends, and recognize procedural irregularities.
• Excellent written, verbal, interpersonal, and customer-service skills.
• Ability to multitask and work independently in a fast-paced environment while collaborating across departments.
• Preferred: 2+ years of healthcare experience specifically involving appeals and grievances.
• Preferred: Health insurance experience involving Commercial, Medicaid, and Medicare plans and their applicable rules and regulations.
• Preferred systems experience: JIVA, Facets, Express Scripts, Inc., and HPMS.
• Experience with data entry, reporting, and trend analysis is preferred.

Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply.

California residents:

Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Company Profile:

Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.
Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.
Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com.

Benefits Information:

Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings.