Member Appeals & Grievances Coordinator

To Apply for this Job Click Here This is a 40-hour-per-week Member Appeals & Grievances Coordinator contract position in Charlestown, MA, running from November 2, 2026 through January 30, 2027. This position is paying $21.60/hour. The position is with a health insurance/healthcare organization and focuses on the accurate intake, documentation, tracking, and distribution of member appeals and grievances while supporting regulatory compliance, reporting, and internal auditing. Key Responsibilities: Identify, intake, document, and distribute member appeals and grievances accurately and within required deadlines. Maintain accurate information in the Appeals & Grievances system of record. Respond professionally to members, providers, and internal departments regarding case status and procedures. Maintain organized, secure, and compliant records. Identify trends, procedural concerns, or potential issues and escalate them to management. Assist with audits, monitoring, and daily, weekly, or monthly reporting. Analyze data and identify trends to support management reporting. Help maintain efficient workflows designed to minimize manual errors and improve consistency. Participate in or lead training for specialists, coordinators, and new staff. Maintain current training materials and support additional Appeals & Grievances functions as needed. Candidate Qualifications: Bachelor’s degree in healthcare administration or a related field, or an equivalent combination of education, training, and experience. Proficiency with Microsoft Office applications and healthcare management systems. Strong attention to detail, organization, problem-solving, and data-entry skills. Ability to analyze information, identify trends, and recognize procedural irregularities. Excellent written, verbal, interpersonal, and customer-service skills. Ability to multitask and work independently in a fast-paced environment while collaborating across departments. Preferred: 2+ years of healthcare experience specifically involving appeals and grievances. Preferred: Health insurance experience involving Commercial, Medicaid, and Medicare plans and their applicable rules and regulations. Preferred systems experience: JIVA, Facets, Express Scripts, Inc., and HPMS. Experience with data entry, reporting, and trend analysis is preferred. A1479070HN_1792766036 To Apply for this Job Click Here