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Grievance Specialist

Portland, ME 04103

Employment Type: Contract Job Number: 63126575 Pay Rate: $31.59-39.03 / hour Specialty: Branch: Pay Type:

Job Description

We're seeking an experienced healthcare professional with a background in managed care/health plan operations to join our team in a Contract role until April. In this role, you'll investigate, process, and resolve member grievances and appeals while ensuring compliance with regulatory 
requirements.  
Qualifications:
  • 3+ years of managed care or health plan experience
  • Grievances and/or appeals experience required
  • Knowledge of health plan benefits and claims processing
  • Strong communication, research, and problem-solving skills
  • Proficient in Microsoft Office
Experience with Medicare Advantage, TRICARE, health insurance plans, claims, or member services is highly preferred.

Additional Information

At HW Staffing Solutions we recognize the value of our employee associates as equally as our clients. We are passionate about people and improving the lives of every associate, we do this by connecting you with great companies and great opportunities. We celebrate our awesome diversity, believe that everyone has a unique talent, and appreciate the passion and perspectives that each of us bring to the table. Discover a new way to work together with a company that is focused on offering the best opportunities, benefits and career advancement in Accounting & Finance, Office & Administrative, Light Industrial, Professional & Technical, Call Center, Food Processing and Hospitality. HW Staffing Solutions is an Equal Employment Opportunity company.

Meet Your Recruiter

Sarah Gilliar
Staffing Specialist

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About Portland, ME

Discover exciting job opportunities in the vibrant Portland, Maine area! Known for its picturesque coastal charm, bustling Old Port district, and thriving arts scene, Portland is a city brimming with career possibilities and growth potential. From the renowned Portland Museum of Art to the eclectic array of seafood eateries along Commercial Street, there's no shortage of charm and culture to explore. Home to the Portland Symphony Orchestra, Portland Stage Company, and iconic Hadlock Field where fans cheer for the Portland Sea Dogs, this region offers a perfect blend of work and play. Dive into our job listings today and consider kickstarting your career in this enchanting city by the sea.