- Apex Health Solutions (Houston, TX)
- Summary: The Appeals and Grievances coordinator position is focused on the processing of customer and provider Medicare and Commercial appeals and ... safety, cost efficiency and a commitment to the Continuous Quality Improvement Process. The Appeals & Grievance Coordinator will interact on a daily basis with… more
- Apex Health Solutions (Houston, TX)
- Summary: The Appeals and Grievances coordinator , Senior position, is focused on the processing of customer and provider Medicare and Commercial appeals ... cost efficiency and a commitment to the Continuous Quality Improvement Process. The Appeals & Grievance Coordinator , Senior, will interact on a daily basis… more
- Generac Power Systems (Waukesha, WI)
- …technology solutions company, we continue to push new boundaries. **Job Description:** The ** Appeals and Grievances Coordinator ** is a critical team player ... events under general supervision with some guidance from leadership and higher-level Appeals and Grievances Specialists. **Job Responsibilities:** + Perform a… more
- Health First (Rockledge, FL)
- …Insurance)* **Organization:** **HF Administrative Plan Inc* **Title:** *HFHP Appeal /Grievance Coordinator - Member Appeals Grievances * **Location:** ... *Florida - Brevard County-Rockledge* **Requisition ID:** *075564* more
- Centers Plan for Healthy Living (Staten Island, NY)
- …integral part of the Grievance and Appeals (G&A) Department, the G&A Coordinator lends their support in processing member-related grievances and appeals ... Grievance and Appeals Coordinator 75 Vanderbilt Ave, Staten...RESPONSIBILITIES: + Logs and tracks verbal or written member grievances and appeals . + Conducts relevant research… more
- Centene Corporation (Phoenix, AZ)
- …and authorization appeals from providers and pursue resolution of formal grievances from members. + Gather, analyze and report verbal and written member and ... provider complaints, grievances and appeals + Prepare response letters for member and provider complaints, grievances and appeals + Maintain files on… more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA- Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and ... well as externally to facilitate timely resolution of all grievances and appeals and ensures compliance with...dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G … more
- Medical Mutual of Ohio (OH)
- …new or updated CMS regulations, Coverage Gap Discount, Coverage Determinations and Appeals , Grievances , and Medicare marketing material requirements. . Assists ... new or updated CMS regulations, Coverage Gap Discount, Coverage Determinations and Appeals , Grievances , and Medicare marketing material requirements. . Assists… more
- State of Colorado (CO)
- CDOC - Employee Relations Specialist / Staff ADA Coordinator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4739353) Apply CDOC - Employee ... Relations Specialist / Staff ADA Coordinator Salary $4,809.00 - $7,695.00 Monthly Location Statewide, CO Job Type Full Time Job Number OHR 3349 HR Spec III 11.2024… more
- CVS Health (Trenton, NJ)
- …and affordable. **Position Summary** Responsible for intake, investigation and resolution of appeals , complaints and grievances scenarios for all products, which ... responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance. Identify trends and emerging issues and report… more
- Roper St. Francis (SC)
- …Charleston, SC Shift: Full time **Job Summary** **:** The Patient Relations & Legal Coordinator aids in complaints and grievances management as well as legal ... legal field, customer service or healthcare preferred. Prior experience working with grievances and appeals strongly preferred. Knowledge of RSFH organizational… more
- Elevance Health (Sacramento, CA)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator ** Location: Candidate should reside in California and...at least one day a week. The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for… more
- State of Massachusetts (MA)
- …Services (EOHHS) seeks qualified applicants for the position of Labor Relations Coordinator - Health HR Office. Our ideal candidate is an experienced professional ... and spreadsheets to ensure effective workflow including but not limited to grievances , discipline, show causes, DLR cases and collective bargaining proposals. *… more
- Elevance Health (Fort Lauderdale, FL)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... $5,000 Sign On Bonus **LTSS Service Coordinator ** _Location:_ This is primarily a field based...Polk, Orange, or Palm Beach county. The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for… more
- Sacramento Municipal Utility District (Sacramento, CA)
- …including writing defensible reports and disciplinary documents + Experience responding to grievances or appeals and serving as an employer representative in ... and managerial personnel, and union representatives, to investigate and resolve grievances . Advises, consults with, and prepares response for management in … more
- State of Colorado (Golden, CO)
- …development training (as available) + Resolves informal staff grievances . Provide formal/informal performance feedback. Initiate progressive discipline, in ... for all youth + Responds to and resolves youth grievances + Act as first public contact with agency...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Lakewood, CO)
- …development training (as available) + Resolves informal staff grievances . Provide formal/informal performance feedback. Initiate progressive discipline, in ... for all youth + Responds to and resolves youth grievances + Act as first public contact with agency...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …conflicts, investigates and problem solves internal and external complaints and grievances from staff, youth, family, and other customers. Scheduling of clinic ... with established treatment protocols. Communication with the Medical Operations Coordinator and Medical Authority to plan, make recommendations, strategize, and… more
- University of Kansas (Lawrence, KS)
- …the research, instruction and/or service of the School. + Manage petitions, grievances , and other special processes within SPS. These could include student ... petitions, charges of academic misconduct, grade appeals , retroactive withdrawals, and fee petitions. + Provide training to key stakeholders in SPS and across campus… more
- State of Colorado (Golden, CO)
- …+ Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, follow up and appropriate action Shift Supervision + ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… more