Manager, Grievance & Appeals (Healthcare)

Location: Remote in Oregon, with a schedule aligned to Pacific Standard Time (PST). Candidates residing in Oregon with an active Oregon RN license are strongly preferred.

Salary: $70,100–$126,200 per year.

Company

hirify.global provides healthcare services focused on connecting people with the care they need and improving accessibility and outcomes.

What you will do

• Manage the day-to-day work of Grievance & Appeals Coordinators.
• Ensure member and provider grievances, appeals, and State Fair Hearing requests are processed and investigated within contractual, regulatory, and legal time frames.
• Monitor cases and provide senior management with monthly trend reporting.
• Serve as a point of contact for state, local, and federal governments, community organizations, providers, and the public.
• Integrate federal and state law changes into the company’s grievance and appeals regulatory system.
• Recommend corrective solutions, advise departments on preventing recurrence, train agencies on compliant procedures, and review incident and accident reports.

Requirements

• Bachelor’s degree in a related field or equivalent experience.
• 3+ years of experience in healthcare or law, grievances, and appeals.
• Previous experience as a functional-area lead, managing cross-functional teams on large-scale projects, or supervising staff.
• Supervisory experience must include hiring, training, assigning work, and managing employee performance.
• Active Oregon RN licensure is strongly preferred.

Culture & Benefits

• Remote work with flexible remote, hybrid, field, or office work approaches across the organization.
• Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
• Pay may vary based on skills, experience, education, job-related factors, and full-time or part-time status; additional incentives may apply.
• Equal opportunity employment with consideration for qualified applicants regardless of protected characteristics; qualified applicants with arrest or conviction records are considered under applicable laws and ordinances.