Insurance
10 appeals and grievances experts
These ten professionals have managed or directed appeals and grievances departments at health plans and health insurers. A reader can learn how health plans organize the handling of member and provider appeals and grievances.
Professionals to explore
01—10Alex Matheason, MBA
LinkedInExperience: Director, Appeals & Grievances · Molina Healthcare
Director, Appeals & Grievances at Molina Healthcare since July 2025, covering Iowa, Nebraska, Utah and Idaho according to the profile, and former Manager of Appeals & Grievances there (2023–2025). The profile describes leading, organizing and directing the activities of the Appeals & Grievances unit. Former Revenue Cycle Manager at University of Iowa Health Care (2020–2023).
Amber Schield
LinkedInExperience: Manager, Appeals and Grievances · Blue Cross and Blue Shield of Minnesota
Manager, Appeals and Grievances at Blue Cross and Blue Shield of Minnesota since April 2023. The profile describes identifying and evaluating appeal trends and implementing strategies and tactics to help shape future efforts. Former Member Engagement Program Manager (2021–2023) and Supervisor Operations Lead (2016–2021) at Blue Cross and Blue Shield of Minnesota.
Angelica Estrada
LinkedInExperience: Sr. Manager, Grievance and Appeals Resolution Services · CalOptima
Sr. Manager, Grievance and Appeals Resolution Services at CalOptima since April 2026, where the profile describes providing oversight and leadership to the department. Former Manager, Appeals and Grievances at L.A. Care Health Plan (2024–2026) and at Molina Healthcare (2019–2024), and former Supervisor, Appeals & Grievances at Wellcare Medicare (2013–2019).
Celeste Acuña
LinkedInExperience: Senior Manager Medical Appeals and Grievances · Blue Cross Blue Shield of Arizona
Director, Grievance and Appeals at CareSource since November 2021, and former Senior Manager Medical Appeals and Grievances at Blue Cross Blue Shield of Arizona (2015–2021). The profile notes a background as a registered nurse. Other listed roles include Senior Manager (UM CM PA) at Conifer Health Solutions (2013–2015).
Donna White
LinkedInExperience: Sr Manager, Complaints & Grievances · UPMC Health Plan
Sr Manager, Complaints & Grievances at UPMC Health Plan since October 2012. The profile describes implementing and managing all aspects of UPMC Health Plan's complaints, grievances and appeals processes for both members and providers, clinical and administrative. Other listed UPMC Health Plan roles include Manager, Provider Services and Resource Unit (2004–2007).
Jennifer McKenzie
LinkedInExperience: Grievance and Appeals Manager · Anthem, Inc.
Grievance and Appeals Manager at Anthem, Inc. since November 2000. The profile describes overseeing the management of member and provider grievances and appeals, including receipt, investigation and processing, and monitoring, analyzing and trending grievance and appeals data for submission to appropriate parties.
Lamar Watson, MPH
LinkedInExperience: Director, Grievance & Appeals · Centene Corporation
Director, Grievance & Appeals at Centene Corporation since July 2021, and former Senior Manager, Grievance & Appeals (2018–2021) and Manager, Grievance & Appeals (2014–2018) there. The profile describes directing and overseeing the member Appeals and Grievance department across intake, data entry, correspondence, research and resolution.
Laquinda Jackson
LinkedInExperience: Senior Manager, Grievance & Appeals · Centene Corporation
Senior Manager, Grievance & Appeals at Centene Corporation since May 2022, and former Manager, Grievance & Appeals (2021–2022) and Appeals Supervisor (2017–2022) there. The profile describes ensuring appropriate processing of member grievance appeals, provider appeals and requests for a State Fair Hearing, and serving as the point of contact with the State.
Lindsey Cole Miller
LinkedInExperience: Director, Appeals and Grievances, Medicaid Segment · Highmark
Director, Appeals and Grievances, Medicaid Segment at Highmark since May 2025. Former Manager of Appeals and Grievances (2020–2025) and Compliance, Policy and Reporting Supervisor, Appeals and Grievances (2017–2020) at Highmark Wholecare, where other listed roles include Interim Compliance Officer, Highmark Health Options (2016–2017).
Melissa Cuellar
LinkedInExperience: Appeals and Grievances Manager · Clear Spring Health
Appeals and Grievances Manager at Clear Spring Health since October 2021, and former Appeals and Grievances Supervisor (2021) and Appeals and Grievances Team Lead (2020–2021) there. The profile describes leading, organizing and directing the activities of the Grievance and Appeals department, which reviews and resolves member and provider complaints.
Choose the right perspective
Match the person's lines of business to yours, since Medicare, Medicaid and commercial appeals follow different rules and timelines. Also decide whether you need someone who has led a whole appeals and grievances department or someone closer to day-to-day case resolution.
Questions to take into the conversation
- 01How do you set up intake and case tracking so that appeals and grievances are resolved within regulatory timeframes?
- 02How do you use appeal and grievance trends to fix the underlying problems that cause them?
- 03What do you do to prepare an appeals and grievances team for a regulatory audit?
Reaching appeals and grievances experts
How can I contact one of these appeals and grievances experts?
Pick one of the 10 people on this page and choose "Book a paid call", or describe your project to find others. You offer a fee for a 15-minute call or a written answer, Instant Expert finds the person's work email and sends the invitation, and they decide whether to accept. The list covers 9 companies, including Molina Healthcare, Blue Cross and Blue Shield of Minnesota and CalOptima, based on profile data retrieved on October 4, 2026. Being listed here doesn't mean someone has agreed to take calls.
How much does it cost to reach appeals and grievances experts?
You choose the offer, starting at $5 per person. It includes Instant Expert's 20% fee, so an offer that pays the person $100 costs you $125. You're charged only when the person books the call or sends the answer.
What if they don't reply?
You pay nothing. Instant Expert sends follow-up reminders, and if the person hasn't booked or answered within 7 days, the request expires and any hold on your card is released. You can invite several of the 10 people on this list at once and cap your total spend, so you pay only for the ones who accept.
About this directory
This is a professional research starting point based on business profile data retrieved on . Titles and companies reflect that source snapshot and may describe past or present roles. Check the linked profiles for current details. Inclusion does not imply Instant Expert membership or availability.
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