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Grievance & Appeals Coordinator I
Centene Corporation
remoteUSD 19 - 33 / hour
Remote-KY Posted Sep 2, 2026
About this role
Grievance & Appeals Coordinator I
Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.
- Gather, analyze and report verbal and written member and provider complaints, grievances and appeals
- Prepare response letters for member and provider complaints, grievances and appeals
- Maintain files on individual appeals and grievances
- May coordinate the Grievance and Appeals Committee
- Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information
- Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research.
- Manage large volumes of documents including copying, faxing and scanning incoming mail
- Performs other duties as assigned.
- Complies with all policies and standards.
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