Remote Appeals & Grievance Supervisor

Centene Corporation

United States

Remote

USD 56,000 - 101,000

Full time

2 days ago

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Job summary

Centene Corporation seeks a remote Appeals & Grievance Supervisor to oversee day-to-day A&G operations across multiple states. You’ll mentor staff, handle escalated cases, and distribute workload to meet quality metrics.

A Bachelor’s degree and 2+ years’ processing experience in healthcare are required with bonus eligibility and strong process improvement focus. The role emphasizes regulatory updates, training, and adherence to policies, with compensation reflecting experience and full-time

Qualifications

Bachelor’s degree in a related field or equivalent experience.
2+ years of appeals and grievances processing experience in a healthcare or managed care setting preferred.

Responsibilities

Supervise the day to day operations of the Appeals & Grievance (A&G) staff and functions.
Support the team on escalated or complex issues and monitor and distribute case load.
Serve as a resource regarding escalated or complex issues, process and systems issues, and regulatory updates.
Monitor and evaluate performance standards and provide daily feedback and guidance of problem resolution.
Identify opportunities for process improvements and work with departments to prevent recurrences.
Train and onboard new team members.
Performs other duties as assigned.
Complies with all policies and standards.