Remote Appeals & Grievances Team Lead

Centene Corp.; Florida; Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Remote work flexibility

Job summary

Centene Corp. is seeking a remote Senior Appeals & Grievances supervisor to oversee day-to-day A&G operations across multiple states. The role ensures productivity and quality metrics are met, handles escalated issues, and distributes caseload efficiently.

Requires a Bachelor’s degree and 2+ years of A&G processing experience in healthcare or managed care, with potential for a bonus. Benefits include competitive pay, health insurance, and retirement plans.

Qualifications

• 2+ years of appeals and grievances processing experience in healthcare or managed care setting.

Responsibilities

• Supervise day-to-day operations of the A&G staff and ensure productivity and quality metrics.
• Provide escalation support for complex issues and monitor case load distribution.
• Train and onboard new team members and ensure policy compliance.

Skills

Appeals & Grievances processing

Regulatory updates

Team supervision

Training onboarding

Education

Bachelor’s degree

Job description

Centene Corp. is seeking a remote Senior Appeals & Grievances supervisor to oversee day-to-day A&G operations across multiple states. The role ensures productivity and quality metrics are met, handles escalated issues, and distributes caseload efficiently.

Requires a Bachelor’s degree and 2+ years of A&G processing experience in healthcare or managed care, with potential for a bonus. Benefits include competitive pay, health insurance, and retirement plans.