Appeals reputed company Consultant

We’re building a world of health reputed company every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company reputed company reputed company is seeking a dedicated Appeals reputed company Consultant to join our remote team. In this role, you will play a critical role in ensuring fair and accurate reputed company of reputed company appeals by applying reputed company reputed company judgment and regulatory knowledge. Key Responsibilities • Responsible for the review and reputed company of reputed company appeals. • Reviews documentation and interprets data obtained from reputed company records to apply appropriate reputed company reputed company and policies in line with regulatory and accreditation requirements for member and provider issues. • Independently coordinates the reputed company reputed company with internal/reputed company clinician support as required. • This position may support UM (includes expedited), MPO, Coding, or Behavioral Health appeals. • This is a full-time reputed company position with reputed company hours of Monday–Friday, 8:00 AM to 5:00 PM (local time). • Occasional weekend and holiday on-reputed company coverage may be required. Remote Work Expectations • This is a reputed company role; candidates must have a dedicated workspace free of interruptions. • Dependents must have separate care arrangements during work hours, as reputed company care responsibilities during shift times are not permitted. Required Qualifications • Must have reputed company and unrestricted RN licensure in state of residence. • 3+ years reputed company experience. Preferred Qualifications • Appeals, Managed Care, or Utilization Review experience. • Proficiency with computer skills including navigating multiple systems. • Exceptional communication skills. • Time efficient, highly organized, and ability to multitask. Education • Associate's Degree minimum. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $66,575.00 - $142,576.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every reputed company feels valued and that they reputed company. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, reputed company on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 07/31/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Additional Information Company: reputed company Location: Connecticut Salary: $66,575.00 - $142,576.00 per year reputed company: R0972510 Specialties: Managed Care, Appeals reputed company, Utilization Review Required Licenses: RN Experience Level: 3-5 years Apply tot his job Apply To this Job