Specialist, Grievances & Appeals

San Francisco Health PlanSan Francisco, CA
442d$62,275 - $70,054Hybrid

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About The Position

The Specialist, Grievances and Appeals plays a crucial role in the daily operations of the Clinical Grievances and Appeals team at San Francisco Health Plan. This position involves investigating and resolving member and provider grievances and appeals while adhering to all relevant regulations and standards. The role requires collaboration with various departments, including Customer Service, Clinical Operations, Provider Network Operations, and Compliance and Regulatory Affairs, to ensure effective grievance and appeal processing.

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