Appeals Jobs

Abby Care is seeking an experienced Payer Authorization Operations Manager to own Indiana prior authorization operations, lead a small team, and manage complex Medicaid and payer relationships to ensure continuous care.

Lead Sana’s distributed claims operations team to drive accurate, timely adjudication, appeals, compliance, and scalable process improvements across claims systems and workflows.

Oscar Health seeks a detail-oriented Specialist to independently investigate and resolve complex administrative member and provider grievances and appeals within a workflow-driven, regulatory environment.