## Clinical Appeals AnalystApplylocations: Hybrid Flex - Durhamtime type: Full timeposted on: Posted Yesterdaytime left to apply: End Date: June 13, 2026 (3 days left to apply)job requisition id: RQ **Job Description**We're hiring a Clinical Appeals Analyst to join the Commercial Member Appeals Team! You will be responsible for the analysis, research and completion of complex, non-routine appeals and grievances within the company. You will address all customer concerns and ensure resolution and satisfaction. Ensure timeliness, quality and efficiency in all work to comply with mandated, legislative, North Carolina Department of Insurance (NCDOI) and National Committee for Quality Assurance (NCQA) and Federal requirements. Note: This job reports to Manager, Nursing or Team Leader, Medical only.**What You'll Do*** Provide clinical consultation with non-clinical staff within the Appeals Department.* Coordinate all aspects of the appeals process to ensure compliance with medical ...