Remote Healthcare Case Manager - Appeals (Contract)

Pyramid Consulting Healthcare; Corona (CA); Remote; USD 82,656,000 - 99,187,000; Part time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k)

Paid sick leave

Job summary

Pyramid Consulting, Inc. seeks a Healthcare Case Manager for a 9–12 month contract in Corona, CA (Remote). The role focuses on managing appeals and grievances within health plans, using strong written and verbal skills.

The candidate will work standard hours with potential overtime and a first two weeks in the office. The ideal candidate has 5+ years in healthcare, proficient MS Excel/Word, and excellent customer service and communication abilities.

Qualifications

• 5+ years in healthcare, handling appeals and grievances.
• Strong written and verbal communication with clients.
• Educational background: HS diploma or GED; some college preferred.

Responsibilities

• Manage appeals and grievances for health plan members.
• Communicate with clients by phone and in writing.
• Maintain accurate records in MS Word/Excel and related systems.
• Support remote work options, with initial in-office requirement.

Skills

Customer service

Written communication

Phone communication

Microsoft Excel

Microsoft Word

Education

High School Diploma or GED

Some college

Bachelor's degree

Tools

Microsoft Excel

Microsoft Word

Job description

Pyramid Consulting, Inc. seeks a Healthcare Case Manager for a 9–12 month contract in Corona, CA (Remote). The role focuses on managing appeals and grievances within health plans, using strong written and verbal skills.

The candidate will work standard hours with potential overtime and a first two weeks in the office. The ideal candidate has 5+ years in healthcare, proficient MS Excel/Word, and excellent customer service and communication abilities.