Grievance & Appeals Coordinator I

Centene Corporation

Clinical professional analyzing verbal and written claims and authorization appeals. Supporting Meridian Medicaid and YouthCare members from a remote role.

Posted 7/31/2026full-timeRemote • Illinois • 🇺🇸 United StatesJuniorMid-Level💰 $19 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing and resolving claims and appeals, with a strong focus on managing grievances and maintaining accurate documentation. Proficient in supporting performance programs and HEDIS production functions while ensuring compliance with policies and standards.

Highest-signal resume keywords

Grievance And Appeals ManagementClaims ResearchData Entry And TrackingComplaint ResolutionManaged Care Experience

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims AnalysisData ReportingDocument ManagementResponse Letter PreparationGrievance Tracking

Soft Skills

CommunicationOrganizational SkillsProblem-Solving

Tools & Technologies

HEDIS ToolsDocument Management Systems

Industry Keywords

Managed CareProvider ComplaintsAuthorization AppealsPay-For-Performance Programs

About the role

Key responsibilities & impact

Analyze and resolve verbal and written claims and authorization appeals from providers
Gather, analyze and report verbal and written member and provider complaints, grievances and appeals
Prepare response letters for member and provider complaints, grievances and appeals
Maintain files on individual appeals and grievances
May coordinate the Grievance and Appeals Committee
Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information
Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research
Manage large volumes of documents including copying, faxing and scanning incoming mail
Performs other duties as assigned
Complies with all policies and standards

Requirements

What you’ll need

High school diploma or equivalent
Associate’s degree preferred
2+ years grievance or appeals, claims, related managed care experience, or relevant experience

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules