• Harbor Health Services, Inc. (Mattapan, MA)
    …and consistency of decisions. Supervisory responsibilities for UM RN, Quality Analyst , Appeals and Grievances Specialist. Requirements: Bachelor's Degree ... of quality measures and other data by the Quality Analyst for report to regulatory agencies, including CMS and...all aspects of managed care medical management including UM/CM, Grievance and Appeals , inpatient and outpatient services,… more
    job goal (12/10/25)
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  • Appeals and Grievance Analyst

    Point32Health (MA)
    …general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations ... for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual… more
    Point32Health (12/09/25)
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  • Appeals and Grievances Analyst

    Point32Health (Canton, MA)
    …direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual… more
    Point32Health (12/09/25)
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