Specialist, Appeals & Grievances Members
About this role
Molina Healthcare is hiring a remote Specialist for Appeals and Grievances on its member services team, working Monday to Friday, 8 a.m. to 5 p.m. Central. You will research and resolve member and provider appeals, grievances, and complaints, including questions about claims, and communicate the outcome clearly within program timelines. The role suits an experienced healthcare customer-service or claims professional who is comfortable with detailed documentation and with Medicare and Medicaid rules. It is fully remote within the United States, with pay ranging from $14.76 to $31.97 per hour depending on experience and location.
This listing sits in our Remote Jobs section and was posted on November 09, 2026. The position is fully remote, so you can work from home while staying connected to the wider team online. The advertised pay for the position is $30,701 – $66,498/yr, as published by the employer. On this page you will find the responsibilities, the requirements the employer is screening for, the benefits on offer, and a step-by-step route to submit your application.
Job snapshot
| Employer | Molina Healthcare |
|---|---|
| Job title | Specialist, Appeals & Grievances Members |
| Location | Remote (US, Central Time) |
| Workplace | Remote |
| Job type | Full-time |
| Category | Remote Jobs |
| Salary | $30,701 – $66,498/yr |
| Posted | November 09, 2026 |
| Listing source | Molina Healthcare careers |
What you will do day to day
While every employer organises the work slightly differently, the core of this Specialist, Appeals & Grievances Members role at Molina Healthcare covers the following:
- Research and resolve member and provider appeals, grievances, and complaints
- Review claims questions and explain decisions to members and providers
- Document every case accurately and track it to resolution within program timelines
- Work with internal teams to gather the information needed for each appeal
- Follow managed-care, Medicare, and Medicaid procedures on denials and appeals
What you will need
- At least two years in managed care, a call center, appeals, or claims work
- Experience with health claims processing and Medicare or Medicaid denials and appeals
- Strong written communication and careful documentation skills
- Ability to work independently from home on a set weekday schedule
- Comfortable handling sensitive member information with discretion
This role suits someone who is self-directed, communicates clearly in writing, and can keep a consistent routine without an office around them.
Pay and benefits
The advertised salary range for this position is $30,701 – $66,498/yr, as published by Molina Healthcare. Final offers in US hiring typically depend on experience, qualifications, and location, and the official listing remains the authoritative source for pay details. Alongside pay, weigh the benefits below — health cover, paid leave, and retirement contributions can add significant value on top of the base figure.
Benefits listed by the employer
- $14.76 to $31.97 per hour, based on experience and location
- Fully remote role with a regular Monday-to-Friday schedule
- Health insurance and retirement benefits for full-time employees
- Paid time off and holidays
- Training and growth opportunities inside a large national health plan
How to apply
- Read the requirements above carefully and check you meet the essentials — US employers screen against them closely.
- Update your résumé so the skills named in this listing are easy to find, using the same wording where it honestly matches your experience.
- Click the Apply button on this page. It takes you to the source listing (Molina Healthcare careers), where the original posting is linked — always confirm the role, pay and deadline there before applying.
- Complete every field of the application on the source listing and double-check your contact details before submitting.
- Keep a note of the posting date and job title so you can follow up politely if you have not heard back within two weeks.
Tips to strengthen your application
- Set up and mention a dedicated, quiet home workspace — remote employers ask about it.
- Highlight written communication: most remote screening happens over email and chat.
- Confirm you are in an eligible state or time zone before applying, and say so in your cover note.
- List the collaboration tools you already know (Slack, Zoom, Teams, Google Workspace).
Frequently asked questions
Is this role fully remote?
Yes. The role is remote within the United States, working Monday to Friday, 8 a.m. to 5 p.m. Central Time.
What experience does Molina want?
At least two years in managed care, a call center, appeals, or claims, including health claims processing and Medicare or Medicaid denials and appeals.
How do I apply for the Specialist, Appeals & Grievances Members position?
Use the Apply button on this page — it opens the source listing on Molina Healthcare careers. US Jobs Hub never charges job seekers and does not collect applications itself.
What is the salary for this Specialist, Appeals & Grievances Members role?
The advertised range is $30,701 – $66,498/yr, as published by the employer. The final offer depends on experience, qualifications, and location, so confirm the current figure on the official listing before you apply.
Need help applying? Read our guide: How to Apply for Remote Jobs (and Actually Get Replies) — written for remote jobs applicants in the USA.
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