California Licensed Grievance Manager

A company is looking for a Manager, Grievance & Appeals.

Key Responsibilities

Manage member complaints and ensure compliance with regulatory requirements

Monitor and report on trends in appeals and grievances to senior management

Collaborate with external entities regarding grievance and appeals processes

Required Qualifications

Bachelor's degree in a related field or equivalent experience

3+ years of experience in healthcare, grievances, and appeals

Previous supervisory experience managing cross-functional teams

Ability to integrate federal and state law changes into regulatory systems

California residency required for occasional in-person meetings