Minnetonka, Minnesota, United States · Hybrid
$46k–$79k/yr
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with…
Skills: Written Communication, Verbal Communication, Problem-Solving, Analytical Abilities, Priority Management
St. Louis, Missouri, United States · On-site
Company Description Hennessy & Roach, P.C. is a law firm defending employers in Workers’ Compensation and defendants in General Liability matters. H&R is based in Chicago with additional offices in Springfield, Illinois;…
Skills: Medical Records Management, Legal Clerical Support, Scheduling, Docketing, Subpoena Processing
St. Louis, Missouri, United States · On-site
$31/hr–$47/hr
Description Staff Attorney (Full-Time, Temporary 07/01/26- 09/30/26) Housing Law Program Job Summary Legal Services of Eastern Missouri, Inc., a non-profit law firm that provides free legal assistance to people living wi…
Skills: Litigation, Legal Research, Client Interviewing, Fact Gathering, Drafting Pleadings
St. Louis, Missouri, United States · On-site
Overview NOTICE OF FILING OF APPLICATION UNDER THE U.S. DEPARTMENT OF LABOR’S PERMANENT LABOR CERTIFICATION PROGRAM An application concerning the employment of one or more alien workers for the following permanent positi…
Skills: Renewable Gas Compliance, EPA Regulations, CARB Fuel Pathway Certifications, RFS Compliance, LCFS Compliance
St. Petersburg, Florida, United States · Hybrid
$54k–$68k/yr
At Zelis, we Get Stuff Done. So, let’s get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including th…
Skills: HIPAA Compliance, Privacy Incident Triage, Privacy Risk Assessments, Privacy Training, Regulatory Reporting
Chandler, Arizona, United States · Hybrid
$100k–$179k/yr
About this role: Wells Fargo is seeking a Senior Risk Asset Review Specialist within Credit Risk as part of Corporate Risk. Learn more about the career areas and lines of business at wellsfargojobs.com. Credit Risk, whic…
Skills: Risk Asset Review, Commercial Credit Analysis, Underwriting, Portfolio Management, Financial Statement Analysis
St. Louis, Missouri, United States · On-site
Additional Information About the Role Additional Preferred Requirements Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily i…
Skills: Contract Negotiation, Contract Drafting, Contract Interpretation, Sourcing Portfolio Management, Compliance
Columbia, Missouri, United States · Remote OK
$73k–$109k/yr
Are you a seasoned claims professional with a passion for navigating complex cases? MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal role, you’ll manage high-exposure…
Skills: Workers' Compensation Claims Handling, Fraud Investigation, Medical Case Management, Return-to-Work Strategy, Subrogation Analysis
St. Louis, Missouri, United States · On-site
Work Arrangement: On-Site Position Overview The Claims Specialist II investigates, evaluates, and resolves cargo loss and damage claims across multiple lines of business. This role combines analytical thinking, investiga…
Skills: Claims Investigation, Liability Determination, Cargo Loss And Damage Evaluation, Customer Communication, Problem Solving
Overland Park, Kansas, United States · Hybrid
$63k–$116k/yr
If you're passionate about being part of a diverse organization that enables a Fortune 100 company with nearly $70 billion in annual sales to deliver innovative business solutions with excellence, then Nationwide's Legal…
Skills: Insurance Defense, Civil Litigation, Legal Research, Case Management, Drafting Pleadings
Bloomington, Illinois, United States · Hybrid
$76k–$116k/yr
At FCCI, we focus on creating connections and building lasting relationships. Our people truly make the difference. Are you a dedicated team player who thrives in a diverse, innovative and upbeat culture? Do you have str…
Skills: Liability Claims Investigation, Customer Service, Coverage Evaluation, Field Investigation, Claims Management
St. Louis, Missouri, United States · On-site
$20/hr–$22/hr
Description About Blitt and Gaines, P.C. Blitt and Gaines, P.C. is a leading debt collection law firm with over 30 years of experience representing most of the nation’s largest financial institutions. With nine offices a…
Skills: Document Scanning, Data Import/Export, Typing, Written Communication, Oral Communication
Alpharetta, Georgia, United States · On-site
Equifax is where you can power your possible. If you want to achieve your true potential, chart new paths, develop new skills, collaborate with bright minds, and make a meaningful impact, we want to hear from you. Data i…
Skills: Data Privacy, Data Protection, Privacy Engineering, Privacy Impact Assessments, GDPR
St. Louis, Missouri, United States · On-site
$19/hr–$25/hr
Description Join Our Team At Blitt & Gaines, P.C., we are committed to a supportive, high-performance, and inclusive workplace. If you value consistency, accuracy, and the ability to grow within a dynamic environment, we…
Skills: Account Review, Data Entry, Microsoft Excel, Microsoft Outlook, Microsoft Word
St. Louis, Missouri, United States · On-site
Location: On-Site | 4900 Daggett Ave., St. Louis, MO 63110 Job Summary: The CPI Legal Assistant is an integral part of the Paralegal/Attorney team and will assist with the day-to-day administrative tasks that are crucial…
Skills: Personal Injury Experience, Attention To Detail, Organization Skills, Microsoft Word, Microsoft Excel
Bloomington, Illinois, United States · Remote OK
$99k–$148k/yr
SUMMARY: The Compliance Manager plays a critical role in safeguarding the organization’s adherence to regulatory requirements and industry standards by overseeing regulatory monitoring, managing rate and form filin…
Skills: Regulatory Monitoring, Rate and Form Filings, Audit Preparation, Risk Assessment, Corporate Governance
St. Louis, Missouri, United States · On-site
Why Stifel Stifel strives for a culture that puts its clients and associates first: a culture where everyone belongs, everyone is welcome, and everyone contributes to the success of our clients, their careers, and the fi…
Skills: Complaints Management, Third-Party Oversight, Regulatory Compliance, Root Cause Analysis, Mortgage Lifecycle Compliance
St. Louis, Missouri, United States · Hybrid
$92k–$130k/yr
Requisition Number: 28943 Required Travel: 0 - 10% Employment Type: Full Time/Salaried/Exempt Anticipated Salary Range: $91,631.00 - $130,000.00 Security Clearance: TS/SCI Level of Experience: Mid HI This opportunity res…
Skills: Patent Search, Patent Prosecution, Computer Architecture, Artificial Intelligence, Machine Learning
Bloomington, Illinois, United States · Remote OK
$75k–$85k/yr
Overview Workers' Compensation Claim Consultant - Midwest National Account Location: RemoteSchedule: Monday – Friday, 8:00 AM – 4:30 PM CT Salary Range: $75,000 - $85,000 Build Your Career With Purpose at CCMSI At CCMSI,…
Skills: Workers' Compensation Claim Handling, Illinois Workers' Compensation Law, Multi-jurisdictional Claims Management, Litigation Management, Reserve Establishment
St. Louis, Missouri, United States · On-site
At Propio Language Services we are closing the language gap by connecting people anywhere and anytime through innovative technology and solutions. Founded in 1998 Propio Language Services provides critical interpreting a…
Skills: Consecutive Interpretation, Patient Confidentiality, Medical Interpretation, Legal Interpretation, HIPAA Compliance
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Manage and respond to member complaints, grievances, and appeals to ensure compliant and timely resolutions. Evaluate cases as clinical or non-clinical and collaborate with cross-functional teams to drive fair determinations.
Requires a high school diploma or equivalent and at least 3 years of related work experience. Preference is given to candidates with 3-5+ years of experience in healthcare operations, insurance, or appeals and grievances.
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
Medica’s Appeals and Grievance Specialist plays a vital role in ensuring our members and providers receive clear, timely, and accurate resolutions to their concerns. In this dynamic and impactful position, you will manage and respond to member complaints, grievances appeals, and some regulatory inquiries to ensure accurate, timely, and compliant outcomes.
You’ll dig into complex case issues, conduct meaningful research, and clearly document your findings—ultimately driving fair and compliant case determinations. A key part of your work will include evaluating whether each case is clinical or non-clinical and ensuring it is routed to the appropriate internal partners for successful resolution.
This role collaborates closely with teams across Operations, Health Services, Legal, and Markets, creating opportunities to build strong cross-functional relationships and contribute to continuous improvement across the organization. You will help uphold Medica’s commitment to regulatory compliance while delivering an exceptional experience for our members and providers. Performs other duties assigned.
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE or St. Louis, MO.
The full salary grade for this position is $45,900 - $78,600. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $45,900 - $68,775. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
To better your life with care in the moments that matter.
🔹At Medica, we are a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, North and South Dakota and beyond-- we invest back into these communities and are proud of our longstanding relationships built over time there. 🔹Medica's Community Giving Initiatives prioritizes support for early childhood and maternal health programs, food security, and mental health needs. 🔹We have invested millions of dollars and hundreds of volunteer hours to help our non-profit community partners. 🔹In 2021, we formed a joint venture with SSM Health, and through that invested in Dean Health Plan. 🔹Medica and Dean Health Plan, both mission-driven health plans, have significant similarities in our histories, operations, cultures, and deep community commitment. 🔹Our new relationship is driven by technology, a mission driven vision, and innovation. 🔹Together we have an even greater opportunity to support the health care needs of members and patients, and to further enhance our provider relationships. 🔹For more information about Medica, click here: https://www.medica.com/our-story
Offices: 401 Carlson Parkway, Minnetonka, MN 55305, US · 301 Carlson Parkway, Minnetonka, MN 55305, US · 1277 Deming Way, Madison, Wisconsin 53717, US
There are currently 62 open legal positions in St. Louis, MO listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Wells Fargo, Blitt & Gaines Law Offices, MEM, U.S. Bank, Allied Universal, among others. Browse the listings above to see every active employer.
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