Remote Grievances & Appeals Coordinator (KS)

Centene Corp.; Kansas; Hybrid; USD 27,000 - 45,000; Full time

Benefits offered by this job

Health insurance

401K plan

Stock purchase plan

Tuition reimbursement

Paid time off + holidays

Remote/hybrid work flexibility

Job summary

Centene Corp. in Kansas is seeking a detail‑oriented Grievances and Appeals Specialist to gather, analyze and report member and provider complaints, grievances and appeals, and to prepare response letters.

The role supports HEDIS production functions and data entry, handles large volumes of documents, and coordinates committee activities, with a standard Mon-Fri schedule and remote flexibility within Kansas.

Qualifications

• Gather, analyze and report complaints, grievances and appeals.
• Prepare response letters for member and provider appeals.
• Maintain files on individual appeals and grievances.

Responsibilities

• Coordinate Grievance and Appeals Committee if needed.
• Support pay-for-performance programs: data entry, tracking and research.
• Assist with HEDIS production functions: data entry, provider calls, claims research.
• Manage large volumes of documents: copying, faxing and scanning incoming mail.

Skills

Grievance handling

Appeals processing

Data entry

Documentation

Education

High school diploma

Associate’s degree preferred

Tools

HEDIS

Job description

Centene Corp. in Kansas is seeking a detail‑oriented Grievances and Appeals Specialist to gather, analyze and report member and provider complaints, grievances and appeals, and to prepare response letters.

The role supports HEDIS production functions and data entry, handles large volumes of documents, and coordinates committee activities, with a standard Mon-Fri schedule and remote flexibility within Kansas.