Appeals & Grievances (A&G) Advocate - Medicare Advantage Health Plans

Job Title

Appeals & Grievances (A&G) Advocate – Medicare Advantage (US Healthcare)

Location

India/Philippines (Onsite)

Reporting To

A&G Lead / Manager – Operations

Role Overview

The Appeals & Grievances (A&G) Advocate i s responsible for managing member and provider appeals and grievances Medicare advantage health plan members. The role requires strong CMS regulatory knowledge , high empathy for vulnerable populations, and the ability to provide clear, professional phone support along with compliant written determinations.

This is a high-accuracy, compliance-critical role supporting Medicare Advantage programs.

Key Responsibilities

Medicare advantage health plan Appeals & Grievances Processing

• Handle m...