# Job Position
**Position:** Appeals Specialist IV

**Company:** Centene

**Location:** Texas

**Country:** US

**Work Type:** Full-time

**Salary:** $25.97 - $46.68 an hour

**Company Rating:** 3.2/5 (5240 reviews)

**Posted:** "2024-08-02T03:20:44.000Z"

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## Job Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.  Candidate must live in Eastern or Central Time Zone.  Position Purpose: Leads the processing of all appeals, disputes and reconsiderations including escalations of the most complex issues in accordance with state and National Committee for Quality Assurance (NCQA) requirements. Provides guidance and expert knowledge to the team to ensure appeals are reviewed and processed timely.    Ensures all correspondence that have been generated comply with state and National Committee for Quality Assurance (NCQA) requirement