Remote Grievances & Appeals Coordinator — Health Plan

Medasource; Arizona; On-site; USD 55,000 - 75,000; Full time

Job summary

Medasource is hiring a G&A Coordinator to support a high-volume Grievances & Appeals team in the United States (Arizona residents only). This fully remote role focuses on member and provider appeals, grievances, and claim disputes, requiring 3–4+ years of relevant experience. The position involves resolving complex cases while adhering to regulatory requirements. Ideal candidates should have strong analytical skills and the ability to work in a metrics-driven environment. Extension or conversion opportunities are likely.

Qualifications

• 3–4+ years of Grievance & Appeals experience in a healthcare environment.
• Strong ability to navigate high-volume, metrics-driven environments.
• Experience with Medicaid (AHCCCS preferred).

Responsibilities

• Review, research, and resolve member and provider appeals, grievances, and disputes.
• Draft clear, compliant resolution letters.
• Interpret and apply CMS, AHCCCS, and internal guidelines.
• Handle both standard appeals and grievance intake cases.
• Collaborate with internal teams to ensure accurate case resolution.

Skills

Grievance & Appeals experience

Appeals review, research, and resolution

Drafting resolution letters

Understanding of CMS regulations

Member-facing or provider-facing experience

Job description

Medasource is hiring a G&A Coordinator to support a high-volume Grievances & Appeals team in the United States (Arizona residents only). This fully remote role focuses on member and provider appeals, grievances, and claim disputes, requiring 3–4+ years of relevant experience. The position involves resolving complex cases while adhering to regulatory requirements. Ideal candidates should have strong analytical skills and the ability to work in a metrics-driven environment. Extension or conversion opportunities are likely.