Spectraforce Technologies · Phoenix, AZ · Full Time
Position Title: Grievance and Appeals Nurse Work Location: Remote (Preferred AZ) Assignment Duration: 6 Months
Position Summary:
* This position serves as a clinical and administrative subject matter expert for Part C and Part D grievance and appeal functions; investigating and identifying member, provider and/or claim processing appeals and customer service grievances issues; and ensuring that investigation, resolution and responses are processed promptly in accordance with CMS requirements and