About this role
Grievance & Appeals Resolution Specialist at Clever Care Health Plan. Location: Huntington Beach, California, United States. Role: investigating grievances, resolving appeals, documenting cases Requirements: 2+ years Medicare Advantage grievances & appeals experience, CMS/CTM knowledge, case tracking system experience, strong analytical and communication skills, 40 WPM typing, intermediate Microsoft Word/Excel/PowerPoint. Category: Legal and Compliance Seniority: Entry Level Tools: Electronic medical record (CTM), Microsoft Word, Microsoft Excel, Microsoft PowerPoint Commitment: Full Time Workplace: Hybrid Languages: English, Korean, Vietnamese, Chinese