Appeals & Grievances Specialist (Temp-to-Hire)
Sacramento-area | Healthcare | $22-$25/hr DOE
A well-established healthcare organization is seeking an Appeals & Grievances Specialist I for a temp-to-hire opportunity. This role supports the intake, review, and resolution of member appeals and grievances in a fast-paced, highly regulated environment.

Key Responsibilities

• Intake, research, and processing of appeals and grievances
• Triage cases, identify urgency, and manage regulatory timelines
• Collaborate with internal teams, providers, and external partners to gather documentation
• Prepare clear, accurate written correspondence and case documentation
• Ensure compliance with applicable healthcare regulations and privacy standards

Qualifications

• 2+ years of experience in appeals & grievances, claims, utilization management, or related healthcare administrative roles
• Managed care or HMO experience strongly preferred
• Strong attention to detail and ability to meet strict deadlines
• Excellent written and verbal communication skills
• Comfortable working across multiple systems in a fast-paced setting
• Proficiency with Microsoft Word and Excel

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.