Job Description
Member Appeals & Grievances Coordinator
Summary:
This is a 40-hour-per-week Member Appeals & Grievances Coordinator position in Charlestown, MA, with a healthcare/health insurance organization. Pay is Information not specified, and parking is not available. The assignment runs from November 2, 2026 through January 30, 2027. The role focuses on the accurate intake, documentation, tracking, and distribution of member appeals and grievances, along with reporting, trend analysis, and cross-departmental support.
This is a 40-hour-per-week Member Appeals & Grievances Coordinator position in Charlestown, MA, with a healthcare/health insurance organization. Pay is Information not specified, and parking is not available. The assignment runs from November 2, 2026 through January 30, 2027. The role focuses on the accurate intake, documentation, tracking, and distribution of member appeals and grievances, along with reporting, trend analysis, and cross-departmental support.
Key Responsibilities:
- Identify, intake, document, and distribute member appeals and grievances accurately and within required deadlines.
- Enter detailed information into the Appeals & Grievances system of record while maintaining data accuracy and compliance.
- Respond professionally and promptly to inquiries from members, providers, and internal departments.
- Maintain organized, secure, and efficient records.
- Identify trends, procedural concerns, and potential issues and escalate them to management.
- Assist management with audits, reporting, and internal monitoring activities.
- Create or contribute to daily, weekly, and monthly reports, including trend analysis.
- Participate in or lead training for Appeals & Grievances Specialists and new Coordinator staff.
- Maintain current training and reference materials for the Coordinator function.
- Meet deadlines for system entry, inquiries, voicemail responses, and other assigned support activities.
Candidate Qualifications:
- Bachelor's degree in healthcare administration or a related field, or an equivalent combination of education, training, and experience.
- 2+ years of healthcare experience related to Appeals & Grievances preferred.
- Experience with health insurance, including Commercial, Medicaid, and Medicare, preferred.
- Knowledge of regulations governing Commercial, Medicaid, and Medicare health plans preferred.
- Experience with data entry, reporting, trend analysis, and healthcare management systems.
- Experience with JIVA, Facets, Express Scripts, and HPMS preferred.
- Proficiency with Microsoft Office applications.
- Strong analytical and problem-solving skills with the ability to identify irregularities, collect data, and draw valid conclusions.
- Excellent attention to detail, organization, written and verbal communication, and customer service skills.
- Ability to multitask and work independently or collaboratively in a fast-paced environment.
Qualified candidates encouraged to apply for immediate consideration.
Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply.
California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/
Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records.
Company Profile:
Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.
Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.
Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com.
Benefits Information:
Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings.
We look forward to working with you.
Beacon Hill. Employing the Future (TM)
Numbers & Facts
| Location | Boston, Massachusetts |
| Job Type | Full-time, Employee |
| Industry | Staffing/Employment Agencies |
| Company Size | 1,000 to 1,499 employees |
| Year Founded | 2000 |
| Website | https://www.beaconhillstaffing.com/ |
About Company
Beacon Hill Staffing Group was founded to set a new standard in search, career placement and flexible staffing.
Our niche brands provide direct hire, executive search, temporary staffing, contract consulting and temp/contract-to-hire solutions to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.
Learn more about Beacon Hill Staffing Group and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Government Services, Beacon Hill Legal, Beacon Hill Life Sciences, Beacon Hill Solutions and Beacon Hill Technologies by visiting www.beaconhillstaffing.com.
Or you can visit one of our branch locations www.beaconhillstaffing.com/locations
We look forward to working with you.
Skills
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