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Manager of Appeals and Grievances
DescriptionSummary:The Manager of Appeals and Grievances will oversee the appropriate handling of member and provider complaints, grievances and appeals for multiple lines of business including Medicare, Health Exchange, and US Family Health Plan. The Manager will ensure compliance with regulatory and accreditation requirements and support company initiatives and processes related to member and provider satisfaction and Medicare STARS. The Manager will work closely with other members of CHRISTUS Health Plan senior management to ensure high quality, minimal risk and compliant operations.Provide daily supervision for CAG, including coordination of backup staffing, cross-training and deployment.Perform recruiting, hiring, promo


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