Clinical Grievance Lead

Job Summary

A company is looking for a Clinical Grievance Lead.

Key Responsibilities

• Assign and monitor daily grievance caseloads for team members
• Serve as the first point of contact for complex or escalated cases
• Manage case process from start to finish, ensuring compliance with regulatory requirements

Required Qualifications

• High School Diploma/GED (or higher)
• 2+ years of experience working with appeals and grievances in healthcare
• 2+ years of experience with medical terminology
• Intermediate level of proficiency with MS Office- Excel and Word