Provider Appeals & Grievances Specialist (remote)

Cognizant

Olympia, WA(remote)

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JOB DETAILS

SALARY

$19–$20 Per Hour

LOCATION

Olympia, WA

POSTED

8 days ago

**Provider Appeals & Grievances Specialist (remote)** This is a remote position open to any qualified applicant that lives in the United States. **Summary:** We are seeking a dedicated Provider Appeals & Grievance Specialist with 1 to 2 years of experience to join our team. The ideal candidate will have strong technical skills in MS Excel, knowledge/navigation skills for Microsoft programs in fast paced, production driven environment and dedication to attendance adherence. Absences will not be permitted during training-approximately 6 weeks. This is a work-from-home position with day hours, and no travel is required. Candidate will also have the desire to further their abilities and knowledge of Medicaid medical insurance processes as they will be responsible for the research and resolution of Medicaid provider appeals that will involve research of member benefits, eligibility, provider contracts, billing and coding, Utilization Management and state Medicaid policies. **Basic qualifications:** 1-2 years of Appeals and Grievance 1 Year of medical claims processing experience (Must be with a healthcare plan, not on behalf of provider or provider's office) 2 Years of medical health insurance (Must be with a managed healthcare plan, not on behalf of provider or provider's office), Medicaid/Medicare Insurance Customer Service with managed care plans or directly with CMS Billing and Coding-Medical Insurance Knowledge of Member/Provider Appeals and Grievances, processes, resolutions, compliance TAT Self-resolved troubleshooting ability for various IT issues Knowledge of QNXT Knowledge of PEGA Knowledge of SharePoint Sense of urgency with production and responsiveness to email and MS Teams Ability to create and fax written communication in a professional manner including spelling and grammar. **Salary and Other Compensation:** Applications will be accepted until March 27th, 2026. The hourly rate for this position is between $19.00 - 20.00 per hour, depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans. **Benefits:** Cognizant offers the following benefits for this position, subject to applicable eligibility requirements: - Medical/Dental/Vision/Life Insurance - Paid holidays plus Paid Time Off - 401(k) plan and contributions - Long-term/Short-term Disability - Paid Parental Leave - Employee Stock Purchase Plan _Disclaimer:_ The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law. **_Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future._** Cog2026 Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

About the Company

Cognizant

Cognizant is one of the world's leading professional services companies, transforming clients' business, operating and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant, a member of the NASDAQ-100, is ranked 230 on the Fortune 500 and is consistently listed among the most admired companies in the world.

We're driven by a passion to help our clients build stronger, more agile and more innovative businesses.

Cognizant enables global enterprises to address a dual mandate: to make their current operations as efficient and cost-effective as possible and to invest in innovation to unleash new potential across their organizations.

What makes Cognizant unique is our ability to help clients meet both challenges. We help them enhance productivity by ensuring that vital business functions work faster, cheaper and better. And, our ability to conceptualize, architect and implement new and expanded capabilities allows clients to transform legacy models to take their business to the next level.

COMPANY SIZE

10,000 employees or more

INDUSTRY

Other/Not Classified

FOUNDED

1994

WEBSITE

https://www.cognizant.com