Hiring: Grievance/Appeals Rep II Company: Elevance Health Location: Massachusetts, United States Job Posted Time: 2026-09-10 07:43:12 Employment Type: Hybrid Target Skills & Keywords : Accessibility About the job Experience: •1 year of Grievance & Appeals analyst experience and a minimum of 3 years experience working in grievances and appeals, claims, or customer service; or any combination of education and experience which would provide an equivalent background. Required Skills: •Is responsible for reviewing, analyzing and processing policies related to claims events to determine the extent of the company's liability and entitlement. •How You Will Make An Impact Qualifications: •Requires a HS diploma or equivalent and a minimum of 1 year of Grievance & Appeals analyst experience and a minimum of 3 years experience working in grievances and appeals, claims, or customer service; or any combination of education and experience which would provide an equivalent background. •Preferred Skills, Capabilities And Experiences •Demonstrated capacity to organize work, set and manage multiple priorities in a time sensitive manner is strongly preferred. •Good oral and written communication skills, basic word processing, data base management, spreadsheet skills, PC proficiency and claims knowledge strongly preferred. •Associates degree preferred. For URAC accredited areas, the following professional competencies apply: •Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. •For candidates working in person or virtually in the below locations, the salary* range for this specific position is $21.63 to $27.04 •Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. •Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Compensation: •Flexible work environment (work from home / hybrid options) •Competitive benefits and rewards package •Prepares files for internal or external review by analysts, medical staff or outside consultant Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!