Build a Stronger Appeals & Grievances Program

The RISE Virtual Event Series: Appeals & Grievances event is your go-to destination for advancing your appeals and grievances program in today’s high-stakes, high-scrutiny environment. This event brings together leading voices in compliance, operations, privacy, and risk management to share proven strategies that improve workflows, ensure audit readiness, and drive a more member-centric experience.

This immersive virtual experience provides:

✅ In-depth insights into the latest CMS and state regulations
✅ Tactical approaches to strengthen documentation and response times
✅ Real-world case studies from top-performing plans
✅ Peer benchmarking to identify opportunities for improvement
✅ Actionable tools you can apply immediately within your organization

Whether you're refining your current processes or building a stronger foundation, this event will equip you with the clarity, confidence, and community to move your appeals and grievances program forward.

Don’t miss your chance to stay ahead of evolving regulations, reduce risk, and improve member satisfaction ... all from the convenience of your desk.

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The Topics Shaping Tomorrow & How to Stay Ahead

Actionable Compliance Strategies

Navigate evolving CMS regulations, prepare for audits, and implement policies that reduce appeals

Enhanced Member Satisfaction

Discover techniques to improve communication, efficiently resolve grievances, and boost Star ratings

Technology and Process Innovation

Learn how plans are leveraging technology to improve accuracy, timeliness, and accountability in A&G operations.

Thinking About Attending? Here's Why You Should

  • Discover best practices for preparing for internal and external audits
  • Learn how to enhance member experience and improve Star ratings
  • Get up to speed on the latest CMS regulations and how to stay compliant
  • Explore strategies for proactive grievance management and vendor oversight
  • See how leading health plans use technology to improve timeliness and efficiency

You'll Be in Good Company

Discover the types of peers you'll be joining virtually.

Organizations That Attend

  • Health Plans: Medicare Advantage, Multi-Line, Commercial, & Medicaid 
  • Accountable Care Organizations
  • Community-Based Organizations, Government Agencies, & Advocacy Groups
  • Physician Practices, Medical Groups, & Hospitals
  • IPA Management or MSO Companies
  • Integrated Delivery Networks
  • Not-For-Profit Organizations & Health Care Foundations
  • Pharmacy Benefit Managers
  • Pharmaceutical Manufacturers
  • Prescription Drug Plans
  • Consultants & Vendors That Provide Platforms and Solutions
  • Auditors
  • Academia & Employer Groups

Job Functions You'll Network With

  • Appeals & Grievances Operations
  • Utilization Management
  • Compliance
  • Call Center Operations
  • Internal & External Audit
  • Member Experience
  • Clinical Services & Operations
  • Customer Service and Member Services
  • FDR Oversight
  • Quality Improvement/STARS

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