Remote Appeals & Grievances Supervisor

Centene Management Company LLC; Florida; Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible remote/hybrid work schedules

Job summary

Centene Management Company LLC is seeking a remote Appeals & Grievance supervisor to oversee day-to-day operations, monitor caseloads, and guide a team through escalated issues. The role emphasizes process improvements and staff development within a healthcare-focused environment.

The position requires a bachelor’s degree and 2+ years of appeals processing experience in healthcare or managed care, with healthcare law exposure preferred.

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.
• Experience in healthcare law preferred.

Responsibilities

• Supervise day-to-day operations of the Appeals & Grievance staff and ensure productivity and quality metrics are met.
• Support the team on escalated or complex issues and monitor and distribute caseload.
• Monitor and evaluate performance standards and provide daily feedback and guidance on problem resolution.
• Identify and develop opportunities for process improvements and work with various departments to prevent recurrences.
• Train and onboard new team members.
• Perform other duties as assigned and comply with policies and standards.

Education

Bachelor’s degree in a related field or equivalent experience

Job description

Centene Management Company LLC is seeking a remote Appeals & Grievance supervisor to oversee day-to-day operations, monitor caseloads, and guide a team through escalated issues. The role emphasizes process improvements and staff development within a healthcare-focused environment.

The position requires a bachelor’s degree and 2+ years of appeals processing experience in healthcare or managed care, with healthcare law exposure preferred.