Supervisor, Grievance & Appeals

Centene Corporation

. Supervise the day-to-day operations of the Appeals and Grievance staff and functions .

Posted 11/5/2026full-timeRemote • Florida • United StatesJuniorMid-Level💰 $56,200 - $101,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in supervising Appeals and Grievance operations, ensuring compliance with healthcare regulations and corporate policies. Skilled in performance evaluation, process improvement, and team training within a managed care environment.

Highest-signal resume keywords

Supervision Of Appeals And Grievance StaffHealthcare Law KnowledgeAppeals And Grievances Processing ExperiencePerformance Standards MonitoringProcess Improvement Identification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Appeals ProcessingGrievance ProcessingComplaint ManagementRegulatory CompliancePerformance EvaluationProcess ImprovementTeam TrainingCase Load DistributionProblem Resolution

Soft Skills

LeadershipCommunicationProblem-SolvingFeedback ProvisionTeam Support

Industry Keywords

Managed CareHealthcare ProcessesCorporate PoliciesRegulatory RequirementsQuality Metrics

About the role

Key responsibilities & impact

Supervise the day-to-day operations of the Appeals and Grievance staff and functions
Ensure productivity and quality metrics are met
Support the team on escalated or complex issues
Monitor and distribute case load
Ensure appeals, grievances, and complaints are processed according to standards and corporate policies and procedures
Serve as a resource regarding escalated or complex issues, process and systems issues, and regulatory updates
Monitor and distribute the team’s case load and ensure adequate coverage
Monitor and evaluate performance standards and provide daily feedback and guidance on problem resolution
Identify and develop process-improvement opportunities and work with various departments to prevent recurrences
Train and onboard new team members
Perform other duties as assigned
Comply with all policies and standards

Requirements

What you’ll need

Bachelor’s degree in a related field or equivalent experience
2+ years of appeals and grievances processing experience in a healthcare or managed care setting preferred
Experience in healthcare law preferred
Must be able to work rotational weekends and holidays to meet turnaround time frames
Must work core business hours Monday–Friday, 8am–5pm
Experience supervising Appeals and Grievance staff and functions
Knowledge of appeals, grievances, complaints, healthcare or managed care processes, policies and procedures, and regulatory requirements

Benefits

Comp & perks

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