Manager, Grievance & Appeals Service Integration - Remote

Overview

The Manager, Grievance and Appeals Service Integration is responsible for driving strategic integration of regulatory, operational, and technical initiatives within the Grievance and Appeals function.

In Short

• Lead the development of new business market implementations.
• Provide project management and leadership for operational changes.
• Oversee project management activities including scope, deliverables, and budget.
• Analyze current workflow processes and implement improvements.
• Communicate regularly with stakeholders on project progress.
• Facilitate readiness reviews and audits for new markets.
• Prepare executive-level presentations and project updates.
• Support various job duties as requested.

Requirements

• Bachelor’s degree in Business, IT, or Healthcare Administration.
• Master’s degree preferred.
• Minimum of three years of project management experience.
• Minimum of two years of leadership experience.
• Experience with operational process improvement projects preferred.
• Technical writing experience preferred.
• Strong knowledge of Medicaid, Marketplace, and Medicare.
• Exceptional communication skills.

Benefits

• Comprehensive total rewards package.
• Potential for bonuses tied to performance.
• Supportive and inclusive work environment.
• Opportunities for personal and professional development.