- VNS Health (Manhattan, NY)
- …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations of our ... to, Provider Relations, Claims, Medical Director, third party administrator, pharmacy benefit manager , to achieve resolution of appeals and grievances. + Ensures… more
- Apex Health Solutions (Houston, TX)
- …in a timely and appropriate manner Communicate decisions with appropriate, understandable correspondence Work directly with the Manager to meet the department's ... Summary: The Appeals and Grievances coordinator, Senior position, is focused...auditing and monitoring activities of the processed cases and correspondence and universe preparation. Essential Duties and Responsibilities: Interact… more
- BronxCare Health System (Bronx, NY)
- …the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to ... identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and… more
- Elevance Health (Los Angeles, CA)
- **Nurse Appeals - Licensed RN Nurse** **Location:** This position will work in a hybrid model (remote and office). Ideal candidates will live in the state of ... locations. **Shift:** Monday to Friday from 8:00am-5:00pm PST The **Nurse Appeals ** is responsible for investigating and processing medical necessity appeals… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding ... adverse and adverse coverage decisions. The Clinical Appeals Nurse utilizes clinical skills and knowledge of all applicable State and Federal rules and regulations… more
- Mount Sinai Health System (New York, NY)
- …and other operational details. This individual typically reports to a manager , director or division head. **Qualifications** + Associates Degree in Secretarial ... 2-3 years administrative or medical office experience required , 416 - HSO Appeals Management - MSH, Mount Sinai Hospital **Responsibilities** 1. Serves as an… more
- GAP Solutions Inc (Rockville, MD)
- …appropriateness of the release and review and make recommendations regarding appeals . + Independently process FOIA requests, including correspondence , memoranda, ... Position Objective: Provide services as a FOIA Program Manager in support of the overall functions of the Office of the Director (OD), Office of Science Management… more
- City and County of San Francisco (San Francisco, CA)
- …homes across San Francisco. Position Description: The Rental Program Project Manager - Senior Community Development Specialist, coordinates the daily administration ... of affordable rental housing; + Provide written and verbal correspondence regarding the affordable housing units being leased; +...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …140 associates. It encompasses a member and provider call center, provider correspondence and appeals , clinical review, member correspondence and ... Position Summary: The RN Clinical Provider Post Service Review Manager , led by a Registered Nurse, is responsible...Registered Nurse, is responsible for a team of provider correspondence associates who research and respond to provider inquires… more
- City and County of San Francisco (San Francisco, CA)
- …and gender identity to apply. 9775 Senior Community Development Specialist II - Program Manager The Homeownership and Below Market Rate Program Manager leads a ... units and provide technical assistance to developers. The program manager provides technical assistance regarding particularly complex or sophisticated programmatic… more
- State of Colorado (Chaffee County, CO)
- …Work/Counselor IV) Drug & Alcohol Therapeutic Community Manager - Buena Vista Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4731931) Apply ... - (Social Work/Counselor IV) Drug & Alcohol Therapeutic Community Manager - Buena Vista Salary $7,087.00 - $9,922.00 Monthly...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Grand Junction, CO)
- Civil Engineering Project Manager II, Roadway Construction - Grand Junction Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4717485) Apply ... Civil Engineering Project Manager II, Roadway Construction - Grand Junction Salary $90,686.00...may result in your application being rejected. Notifications: All correspondence regarding your status in the selection/examination process will… more
- State of Colorado (Durango, CO)
- Civil Engineering Project Manager II, Roadway Construction - Durango Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4739147) Apply Civil ... Engineering Project Manager II, Roadway Construction - Durango Salary $90,684.00 -...may result in your application being rejected. Notifications: All correspondence regarding your status in the selection/examination process will… more
- State of Colorado (Golden, CO)
- Civil Engineer Project Manager I Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4740595) Apply Civil Engineer Project Manager I Salary ... work assigned to this position. Examples: Civil & Engineering Project Manager , Lead Engineering Technician, Construction Management, Materials Testing Manager .… more
- State of Colorado (Colorado Springs, CO)
- …Community Programs Specialist III (Treatment Coordinator Case Manager ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730427) Apply CDOC / ... Community Programs Specialist III (Treatment Coordinator Case Manager ) Salary $4,809.00 - $7,695.00 Monthly Location Colorado Springs, CO Job Type Full Time Job… more
- State of Colorado (Denver, CO)
- Manager of Impaired Driving Programs - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4730138) Apply Manager of Impaired Driving ... is provided in overall highway safety issues. About the Position As the Manager of Impaired Driving Programs, classified as Grants Specialist V, you will serve… more
- State of Colorado (Colorado Springs, CO)
- CDOC / Corrections Training Academy Curriculum Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4728617) Apply CDOC / Corrections ... Training Academy Curriculum Manager Salary $7,460.00 - $11,938.00 Monthly Location Colorado Springs,...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Clark County, NV (Las Vegas, NV)
- OFFICE SERVICES MANAGER Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4735479) Apply OFFICE SERVICES MANAGER Salary $28.11 - $43.55 ... seeking qualified candidates to apply for the Office Services Manager position. As a member of our team, the...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- State of Colorado (Colorado Springs, CO)
- Client Manager /Parole Officer - Youth Service Counselor II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4736125) Apply Client Manager ... from the time of commitment to discharge. The role of the Client Manager /Parole Officer is to provide overarching case management and to facilitate and engage… more
- State of Colorado (Pueblo, CO)
- …groups for review and comment. Consolidate and present all group comments in correspondence to developers and local agencies. + Perform site visits at the proposed ... and Form 138s + Coordinate with the Permits Program Manager and other CDOT units (engineering residency, environmental, right-of-way,...with the Form 138 Process. + Participate in any appeals process initiated by the property owner and providing… more