Oregon Licensed Appeals Specialist
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for an Appeals and Grievance Specialist for
a short-term position.
Key Responsibilities
Provide program support for the Grievance System, including
handling complaints, appeals, and regulatory reporting
Ensure proper administration of health plan grievance system
functions, including documentation and tracking
Prepare and monitor grievance system reporting and analysis
activities
Required Qualifications
Bachelor's degree in health administration, public health, or a
health-related field
Minimum of three years' experience in medical claims processing,
complaints and appeals, or the health insurance industry
Knowledge of Oregon Health Plan (OHP) benefit package and OHA rules
and regulations
Ability to work independently and collaboratively within a diverse
team
Excellent organizational skills and ability to manage multiple
tasks simultaneously
Keywords: VirtualVocations, Pomona , Oregon Licensed Appeals Specialist, Other , Vista, California
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